Individual
MARIO QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3905 RICHMOND AVE, HOUSTON, TX 77027-5803
(832) 810-3000
Mailing address
3905 RICHMOND AVE, HOUSTON, TX 77027-5803
(832) 810-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
338273
LA
207P00000X
Emergency Medicine Physician
G5506
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G5506
TX
207R00000X
Internal Medicine Physician
338273
LA
207R00000X
Internal Medicine Physician
G5506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139017117
—
TX
05
—
139017118
—
TX
05
—
139017120
—
TX
05
—
139017121
—
TX
05
—
139017122
—
TX
Enumeration date
07/17/2006
Last updated
08/25/2025
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