Individual
MR. JOHN MICHAEL GIACONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 INWOOD RD BLDG 35TH, DALLAS, TX 75390-7208
(214) 645-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14564
TX
363AM0700X
Medical Physician Assistant
14564
TX
Other
Enumeration date
04/30/2021
Last updated
09/23/2021
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