Individual
DR. MARIO JOSEPH QUESADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 E ALTON GLOOR BLVD, BROWNSVILLE, TX 78526-0004
(956) 544-2663
Mailing address
1203E ALTON GLOOR BLVD, BROWNSVILLE, TX 78526-3831
(956) 544-2663
(956) 542-2366
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
Q1711
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD200497
LA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
13888
NV
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Q1711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1237710
—
LA
Enumeration date
06/01/2007
Last updated
12/17/2024
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