Individual
DR. ROBERT STANLEY ANTONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6020 W. PLANO PKWY, PLANO, TX 75093-4640
(469) 429-7558
(469) 429-2499
Mailing address
6020 W. PLANO PKWY, PLANO, TX 75093-4640
(469) 429-7558
(469) 429-2499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M3861
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
M3861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209902001
—
TX
Enumeration date
09/27/2006
Last updated
08/08/2012
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