Organization
DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH MANDOLA MD (PHYSICIAN/OWNER)
(281) 485-3226
Entity
Organization
Contact information
Practice address
3322 E WALNUT ST STE 112, PEARLAND, TX 77581-4305
(281) 485-3226
(281) 485-5520
Mailing address
3322 E WALNUT ST STE 112, PEARLAND, TX 77581-4305
(281) 485-3226
(281) 485-5520
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013352251
NPI
TX
Enumeration date
09/18/2020
Last updated
12/22/2021
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