Doctor Name: | DR. MARIO ANTONIO DI PASCUALE |
NPI Number: | 1003075094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | N7917 |
Business Practice Address: | 2900 Pershing Dr Suite A El Paso, TX - 799032403 |
Business Phone Number: | 9155385171 |
Business Fax Number: | |
Mailing Address: | 2900 Pershing Dr, Ste A EL PASO |
State: | TX |
Postal Code: | 799032483 |
Phone Number: | 9152617011 |
Fax Number: | 9152316822 |
NPI Enumeration Date: | 06/04/2008 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | N7917 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |