Individual
TONI FUNICELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13740 RESEARCH BLVD, STE P4, AUSTIN, TX 78750-1835
(512) 250-5521
(512) 250-2291
Mailing address
13740 RESEARCH BLVD, STE P4, AUSTIN, TX 78750-1835
(512) 250-5521
(512) 250-2291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D9447
TX
207N00000X
Dermatology Physician
Primary
D9447
TX
Other
Enumeration date
06/08/2005
Last updated
02/07/2008
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