Individual
DR. MARIO FARIN DULAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6560 FANNIN ST STE 900, HOUSTON, TX 77030-2726
(713) 441-3800
Mailing address
6560 FANNIN ST STE 900, HOUSTON, TX 77030-2726
(713) 441-3800
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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