Individual
DR. ALFREDO RICARDO ANTONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6020 W. PLANO PKWY, PLANO, TX 75093-4640
(469) 429-7558
(469) 429-2499
Mailing address
6020 W. PLANO PKWY, PLANO, TX 75093-4640
(469) 429-7558
(469) 429-2499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E1491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894826-01
—
TX
05
—
089482603
—
TX
Enumeration date
10/04/2006
Last updated
10/18/2016
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