Individual
PHILIP CONTE GUZZETTA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Mailing address
3607 SAM RAYBURN TRL, DALLAS, TX 75287-4829
(214) 557-0706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11436
PA LICENSE
TX
Enumeration date
12/05/2011
Last updated
12/27/2017
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