# PAUL E MONDOLFI, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952633927
- **Authorized official:** TRISHA M LAQUA (OFFICE MANAGER)
- **Authorized official phone:** (361) 580-1574

## Contact information

- **Practice address:** 605 E SAN ANTONIO ST, SUITE 450 E, VICTORIA, TX 77901-6040
- **Practice address phone:** (361) 580-1574
- **Practice address fax:** (361) 570-3709
- **Mailing address:** 605 E SAN ANTONIO ST, SUITE 450 E, VICTORIA, TX 77901-6040
- **Mailing address phone:** (361) 580-1574
- **Mailing address fax:** (361) 570-3709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | J9761 | TX | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 12/11/2012
