Healthcare Provider Details

I. General information

NPI: 1518677285
Provider Name (Legal Business Name): WILLIAM CHRISTOPHER GIUNTA FNP - BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WILDWOOD DR STE 105
GEORGETOWN TX
78633-1344
US

IV. Provider business mailing address

501 PANTHER HOLLOW DR UNIT 4106
MARBLE FALLS TX
78654-6123
US

V. Phone/Fax

Practice location:
  • Phone: 512-763-4060
  • Fax:
Mailing address:
  • Phone: 714-474-1249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1099338
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: