Individual
ANTONIO TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
74 GERTRUDE AVE, WATERBURY, CT 06708-1740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7147
CT
363AM0700X
Medical Physician Assistant
7147
CT
Other
Enumeration date
05/16/2025
Last updated
11/13/2025
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