Individual
DR. MARIO NUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 BURGUNDY DR, EL PASO, TX 79907-3462
(915) 228-2491
(915) 219-4890
Mailing address
1150 BURGUNDY DR, EL PASO, TX 79907-3462
(915) 228-2491
(915) 219-4890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L5854
TX
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
L5854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197854603
—
TX
Enumeration date
01/11/2007
Last updated
03/25/2026
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