Individual
DR. MARIO FARIN DULAY JR.
Active
Individual
DR. MARIO FARIN DULAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
33828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841425469
BLUE CROSS BLUE SHIELD
TX
05
—
204512201
—
TX
05
—
204512202
—
TX
05
—
204512203
—
TX
01
—
88802A
BLUE CROSS BLUE SHIELD
TX
01
—
P01363007
RR MEDICARE
TX
Enumeration date
05/27/2009
Last updated
03/17/2018
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