Individual
ANTONIO ANZUETO
Active
Individual
ANTONIO ANZUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
J0425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105773903
—
TX
01
—
290005225
MEDICARE RAIL ROAD
TX
Enumeration date
08/24/2006
Last updated
08/19/2010
Update your record
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