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Individual

MARIO J. GASPAR DE ALBA

Active
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Individual

MARIO J. GASPAR DE ALBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
14554
NV
2080P0006X
Developmental - Behavioral Pediatrics Physician
M3232
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275546590
—
NV
05
—
178999201
—
TX
01
—
8H0437
BC/BS OF TEXAS
TX
01
—
GW226Z
MEDICARE
NV
Enumeration date
08/15/2006
Last updated
06/02/2020
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