Longoria, Mario Abel

Longoria, Mario Abel is an individual health care provider with primary practice located at 7200 Wyoming Spgs Suite 500, Round Rock TX 78681-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Longoria, Mario Abel can be contacted via phone (512) 244-0111.

Contact Information

Primary practice address
7200 Wyoming Spgs Suite 500 Round Rock TX 78681-4303
Phone: (512) 244-0111
Fax: (512) 244-2479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M1887 Texas

Profile Details

NPI number 1578542460
LBN Legal business name Longoria, Mario Abel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578542460 NPPES
Texas Other 8CX700 BCBS
Texas MEDICAID 175973005 BCBS
Texas MEDICAID 175973004 BCBS

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