MEDICARE: VICTORIA KAY IGNAGNI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1033987680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA KAY IGNAGNI

Provider Business Mailing Address
First Line	:	9330 LBJ FWY STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-4310
Country	:	US
Telephone Number	:	972-792-5700
Fax Number	:	214-506-1170

Provider Business Practice Location Address
First Line	:	12720 HILLCREST RD STE 265
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2035
Country	:	US
Telephone Number	:	469-830-9600
Fax Number	:	469-830-9601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2023
Last Update Date	:	02/21/2025

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Directions to “ VICTORIA KAY IGNAGNI ” Practice Location

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