Provider Demographics
NPI:1295895266
Name:CAPINO, TONI (MD)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:CAPINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 WEST PIONEER PARKWAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-4726
Mailing Address - Country:US
Mailing Address - Phone:972-641-3364
Mailing Address - Fax:972-641-3369
Practice Address - Street 1:929 WEST PIONEER PARKWAY
Practice Address - Street 2:SUITE A
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4726
Practice Address - Country:US
Practice Address - Phone:972-641-3364
Practice Address - Fax:972-641-3369
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2583208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics