Provider Demographics
NPI:1871791558
Name:ANTUNES, MARCELO BARROS (MD)
Entity type:Individual
Prefix:
First Name:MARCELO
Middle Name:BARROS
Last Name:ANTUNES
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 1:12309 N MOPAC EXPY STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2604
Mailing Address - Country:US
Mailing Address - Phone:512-339-4040
Mailing Address - Fax:512-339-1663
Practice Address - Street 1:12309 N MOPAC EXPY STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2604
Practice Address - Country:US
Practice Address - Phone:512-339-4040
Practice Address - Fax:512-339-1663
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP5926207Y00000X, 207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology