Organization
GAMMA NEURO NETWORK OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VITANTONIO MD (PRESIDENT)
(310) 923-1437
Entity
Organization
Contact information
Practice address
475 WASHINGTON BLVD, MARINA DEL REY, CA 90292-5287
(310) 923-1437
Mailing address
PO BOX 2277, VENICE, CA 90294-2277
(310) 923-1437
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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