Individual
GIANCARLO TIRADOR TOLEDANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-7000
(214) 456-8132
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-7000
(214) 456-8132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q5585
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2014
Last updated
08/17/2015
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