Mandola, Vincent Joseph
Mandola, Vincent Joseph is an sole proprietor health care provider with primary practice located at 3322 E Walnut St Ste 112 , Pearland TX 77581-4305. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mandola, Vincent Joseph can be contacted via phone (281) 485-3226.Contact Information
Primary practice address
3322 E Walnut St Ste 112
Pearland TX 77581-4305
Phone: (281) 485-3226
Fax: (281) 485-5520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q8104 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | Q8104 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Texas | |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | Q8104 | Texas |
Profile Details
| NPI number | 1013352251 |
|---|---|
| LBN Legal business name | Mandola, Vincent Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2013 |
| Last updated | Dec 22nd, 2021 - about 3 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 | 1013352251 | NPPES |
| Texas | Other | 1013352251 | NPI |
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