Cervantes-Vazquez, Mario
Cervantes-Vazquez, Mario is an sole proprietor health care provider with primary practice located at 22999 Highway 59 N , Kingwood TX 77339-4412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Cervantes-Vazquez, Mario can be contacted via phone (281) 348-8279.Contact Information
Primary practice address
22999 Highway 59 N
Kingwood TX 77339-4412
Phone: (281) 348-8279
Fax: (281) 348-8275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | H7953 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | H7953 | Texas |
Profile Details
| NPI number | 1245234616 |
|---|---|
| LBN Legal business name | Cervantes-Vazquez, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Oct 25th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245234616 | NPPES |
| Texas | Other | 220033031 | RAILROAD MEDICARE |
| Texas | MEDICAID | 130817316 | RAILROAD MEDICARE |
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