Mario Cervantes, M.D., PA
General Practice in Bellaire, TX. Organization (NPI-2).
NPI number1891931457
StatusActive
Last updated in NPPESNov 19, 2013
Details
- NPI
- 1891931457
- Entity type
- Organization (NPI-2)
- Legal business name
- Mario Cervantes, M.D., PA
- Organization subpart
- No
- Enumeration date
- Dec 31, 2008
- Last updated
- Nov 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | H7953 | TX | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | H7953 | TX | |
| 207ZH0000X | Pathology, Hematology | H7953 | TX |
Other names
- Clinica Angeles (Doing Business As)
Practice location
4922 Locust StBellaire, TX 77401-4040
Phone 832-638-6072 · Fax 888-327-1505
Mailing address
5210 Maple StBellaire, TX 77401
Phone 832-638-6072 · Fax 888-327-1505
Authorized official
Mario Cervantes
President
8326386072
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