Mario Rizalino Bascon Roa in College Station - Family Medicine

Mario Rizalino Bascon Roa - NPI 1740445758

Mario Rizalino Bascon Roa is a Family Medicine in College Station, Texas. Mario Rizalino Bascon Roa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mario Rizalino Bascon Roa is 1740445758. The last update date is 2018-11-28.

Mario Rizalino Bascon Roa's current location address is 4421 Highway 6 S Ste 100, College Station, Texas. You can contact this provider via phone number 9797315200 and fax number 9797315210. The mailing address for Mario Rizalino Bascon Roa is 4421 Highway 6 S Ste 100, College Station, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mario Rizalino Bascon Roa
Address 4421 Highway 6 S Ste 100, College Station, Texas
Phone Number 9797315200
Fax Number 9797315210
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1740445758
Provider Enumeration Date 2008-07-20
Last Updated Date 2018-11-28

Provider Mailing Address Detail

Address 4421 Highway 6 S Ste 100
City College Station
State Texas (TX)
Post Code 778456176
Phone Number 9797315200
Fax Number 9797315210

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No N7865
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
280666302 TX --

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FAQs about Mario Rizalino Bascon Roa

What is the unique 10-digit identifier code issued to Mario Rizalino Bascon Roa by the Centers for Medicare & Medicaid Services?

The Mario Rizalino Bascon Roa has been assigned the NPI (National Provider Identifier) 1740445758 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Mario Rizalino Bascon Roa?

The Mario Rizalino Bascon Roa is situated at 4421 Highway 6 S Ste 100, in the city of College Station, state of TX, with the zip code 778456176.

What is Mario Rizalino Bascon Roa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mario Rizalino Bascon Roa is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740445758 to Mario Rizalino Bascon Roa?

The Mario Rizalino Bascon Roa received its 1740445758 assignment from the Centers for Medicare & Medicaid Services on 2008-07-20.

When was the Mario Rizalino Bascon Roa's information last updated?

The Mario Rizalino Bascon Roa's information was last updated on 2018-11-28.

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