MEDICARE: GUSTAVO HORACIO DAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	K1411	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K1411	OTHER	TX	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538239173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUSTAVO HORACIO DAY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 738305
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-8305
Country	:	US
Telephone Number	:	972-566-6764
Fax Number	:	972-566-6968

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:	BUILDING B, SUITE416
City	:	DALLAS
State	:	TX
Zip	:	75230-2505
Country	:	US
Telephone Number	:	972-566-6764
Fax Number	:	972-566-6968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	05/18/2026

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Directions to “ GUSTAVO HORACIO DAY M.D.” Practice Location

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