Organization
MARIO A. QUINTANILLA MD, PLLC
Active
Organization
MARIO A. QUINTANILLA MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO A. QUINTANILLA MD (MD)
(361) 993-4793
Entity
Organization
Contact information
Practice address
5866 S STAPLES ST, SUITE #401, CORPUS CHRISTI, TX 78413-3700
(361) 993-4793
(361) 993-1118
Mailing address
5866 S STAPLES ST, SUITE #401, CORPUS CHRISTI, TX 78413-3700
(361) 993-4793
(361) 993-1118
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
F1201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139788713
—
TX
Enumeration date
08/20/2011
Last updated
08/20/2011
Update your record
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