Organization
BELLA VISTA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO BERTONI M.D. (PRESIDENT)
(832) 830-8997
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST STE 216, HOUSTON, TX 77081-4648
(832) 830-8997
(281) 888-3918
Mailing address
6550 MAPLERIDGE ST STE 216, HOUSTON, TX 77081-4648
(832) 830-8997
(281) 888-3918
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
E5682
TX
208D00000X
General Practice Physician
Primary
E5682
TX
Other
Enumeration date
03/08/2010
Last updated
05/04/2011
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