Individual
DR. JOHN T D'ANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 757-6042
(903) 232-8226
Mailing address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 757-6042
(903) 232-8226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147532901
—
TX
Enumeration date
03/01/2006
Last updated
05/28/2008
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