Individual
DR. MARIO L PINOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-4479
(806) 725-0053
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P0078
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10034667
TX
Other
Enumeration date
07/02/2009
Last updated
07/05/2012
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