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Individual

DR. MARIO THOMAS CANCEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 883-6211
(361) 882-4891
Mailing address
PO BOX 28141, MIAMI, FL 33102-8141
(361) 883-6211
(361) 882-4891

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0017286
TX
207L00000X
Anesthesiology Physician
Primary
M9191
TX

Other

Enumeration date
06/14/2007
Last updated
03/07/2019
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