Individual
LOUIS DEGIRONEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 W WHEATLAND RD, # 134, DALLAS, TX 75237-3401
(214) 941-3192
(214) 941-3762
Mailing address
3920 W WHEATLAND RD, # 134, DALLAS, TX 75237-3401
(214) 941-3192
(214) 941-3762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Q0036
TX
207L00000X
Anesthesiology Physician
Q0036
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q0036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q0036
TEXAS MEDICAL BOARD
TX
Enumeration date
07/02/2009
Last updated
08/18/2020
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