Individual
MARIO A LAMMOGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 BIRMINGHAM DR, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Mailing address
1721 BIRMINGHAM DR, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K1859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11353002
—
TX
Enumeration date
05/17/2006
Last updated
07/21/2025
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