Individual
ANTHONY PETER FORNITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0912
Mailing address
9033 MERCER DR, DALLAS, TX 75228-4135
(214) 320-9598
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1041
TX
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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