Provider Demographics
NPI:1154777050
Name:GUALTIERI, ANTHONY POWELL (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:POWELL
Last Name:GUALTIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10496 KATY FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5269
Mailing Address - Country:US
Mailing Address - Phone:346-571-7500
Mailing Address - Fax:713-492-2440
Practice Address - Street 1:10496 KATY FWY STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5269
Practice Address - Country:US
Practice Address - Phone:346-571-7500
Practice Address - Fax:713-492-2440
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA286461207X00000X
TXV2090207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery