Antonetti, Alfredo Ricardo

Antonetti, Alfredo Ricardo is an individual health care provider with primary practice located at 6020 W. Plano Pkwy , Plano TX 75093-4640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Antonetti, Alfredo Ricardo can be contacted via phone (469) 429-7558.

Contact Information

Primary practice address
6020 W. Plano Pkwy Plano TX 75093-4640
Fax: (469) 429-2499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X E1491 Texas

Profile Details

NPI number 1023103009
LBN Legal business name Antonetti, Alfredo Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023103009 NPPES
Texas MEDICAID 089482603
Texas MEDICAID 0894826-01

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