Individual
GUSTAVO HORACIO DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, BUILDING B, SUITE416, DALLAS, TX 75230-2505
(972) 566-6764
(972) 566-6968
Mailing address
PO BOX 738305, DALLAS, TX 75373-8305
(972) 566-6764
(972) 566-6968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030243201
—
TX
01
—
K1411
MEDICAL LICENSE
TX
05
—
P00040AM6
—
TX
Enumeration date
11/09/2006
Last updated
02/08/2024
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