Individual
DR. MICHAEL MARIO DI IORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301A DAVIS LN STE 210, AUSTIN, TX 78749-3961
(512) 693-8344
Mailing address
5301A DAVIS LN STE 210, AUSTIN, TX 78749-3961
(512) 693-8344
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
49759
CT
2085R0202X
Diagnostic Radiology Physician
49759
CT
2085R0204X
Vascular & Interventional Radiology Physician
49759
CT
2085R0204X
Vascular & Interventional Radiology Physician
Primary
Q1975
TX
208D00000X
General Practice Physician
49759
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420665
—
AZ
Enumeration date
05/21/2008
Last updated
07/21/2022
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