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Organization
DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
Active
Organization
DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH MANDOLA MD (PHYSICIAN/OWNER)
(281) 485-3226
Entity
Organization
Contact information
Practice address
3322 E WALNUT ST STE 112, PEARLAND, TX 77581-4305
(281) 485-3226
(281) 485-5520
Mailing address
3322 E WALNUT ST STE 112, PEARLAND, TX 77581-4305
(281) 485-3226
(281) 485-5520
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013352251
NPI
TX
Enumeration date
09/18/2020
Last updated
12/22/2021
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