Male or Other

Dr. John T. D'Antoni MD

Pediatrics Physician in Longview, TX(View on Map)

Full Name

Dr. John T D'Antoni MD

NPI Number

1336116169

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/01/2006

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Texas

License Number

L3270

Contact
Information

Purpose

Mailing
Location

Address

707 HOLLYBROOK DR
707 HOLLYBROOK DR

City

Longview
Longview

State

TX
TX

Postal Code

75605-2410
75605-2410

Country

US
US

Telephone Number

(903) 757-6042
(903) 757-6042

Identifiers

Identifier

147532901

Identifier State

TX

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/28/2008

Provider Address

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