Organization
GAMMA NEURO NETWORK OF TEXAS PLLC
Active
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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