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Individual

GIANCARLO MARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(173) 873-8890
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
48370
TX
207VM0101X
Maternal & Fetal Medicine Physician
4301083590
MI
207VM0101X
Maternal & Fetal Medicine Physician
43518
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
48370
TX

Other

Enumeration date
06/01/2006
Last updated
10/15/2024
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