D'Antoni, John T

D'Antoni, John T is an individual health care provider with primary practice located at 707 Hollybrook Dr , Longview TX 75605-2410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. D'Antoni, John T can be contacted via phone (903) 757-6042.

Contact Information

Primary practice address
707 Hollybrook Dr Longview TX 75605-2410
Fax: (903) 232-8226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L3270 Texas

Profile Details

NPI number 1336116169
LBN Legal business name D'Antoni, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated May 28th, 2008 - about 16 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 1336116169 NPPES
Texas MEDICAID 147532901

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