Quintanilla, Mario A

Quintanilla, Mario A is an individual health care provider with primary practice located at 5151 Flynn Pkwy Ste 307 , Corpus Christi TX 78411-4384. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Quintanilla, Mario A can be contacted via phone (361) 993-4835.

Contact Information

Primary practice address
5151 Flynn Pkwy Ste 307 Corpus Christi TX 78411-4384
Phone: (361) 993-4835
Fax: (361) 993-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X F1201 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X F1201 Texas

Profile Details

NPI number 1871552729
LBN Legal business name Quintanilla, Mario A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Nov 22nd, 2024 - about 2 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 1871552729 NPPES
Other 8FT501 BC/BS TX
MEDICAID 139788728 BC/BS TX

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