Individual
DR. MARIO JESUS DE LOS SANTOS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6419
(979) 207-7400
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
Q8709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10059062200
SCOTT AND WHITE
TX
Enumeration date
04/25/2013
Last updated
07/23/2025
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