Individual
DR. ALBERT GEORGE TESORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 LBJ FWY, SUITE 520, DALLAS, TX 75244-5806
(972) 599-1860
(866) 480-6586
Mailing address
4230 LBJ FWY, SUITE 520, DALLAS, TX 75244-5806
(972) 599-1860
(866) 480-6586
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G7011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113724202
—
TX
05
—
1593231
—
LA
01
—
180974600
US DEPT OF LABOR PROV ID
TX
01
—
300074692
RAILROAD MEDICARE
TX
01
—
8J8280
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/28/2006
Last updated
01/20/2015
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