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Individual

DR. MARIO ANTONIO DI PASCUALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 PERSHING DR, SUITE A, EL PASO, TX 79903-2403
(915) 538-5171
Mailing address
2900 PERSHING DR, STE A, EL PASO, TX 79903-2483
(915) 261-7011
(915) 231-6822

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
N7917
TX
207W00000X
Ophthalmology Physician
Primary
N7917
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285055905
GROUP NPI NUMBER
TX
Enumeration date
06/04/2008
Last updated
04/21/2016
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