Individual
DR. RONALD L ANTINONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 TRAVIS AVE, FORT WORTH, TX 76104-3137
(817) 338-0322
(817) 338-0624
Mailing address
901 TRAVIS AVE, FORT WORTH, TX 76104-3137
(817) 338-0322
(817) 338-0624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D5664
TX
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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