Tony I Gauntt, PA

NPI #1164509865 in Georgetown, Texas

Provider Information

NPI Number: 1164509865
Entity Type: Individual
Name: Tony I Gauntt, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 1, 2006
Last Updated: Jul 1, 2010

Practice Location

Address: 908 ROCKMOOR DR
City: Georgetown
State: Texas
ZIP Code: 78628-8966
Phone: (512) 868-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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