Individual
OCTAVIO C PINELL-MIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MOURSUND ST, HOUSTON, TX 77030-3406
(713) 500-2500
(713) 500-2530
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D8056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138870404
—
TX
01
—
86808J
BCBS
TX
Enumeration date
07/10/2006
Last updated
01/07/2011
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