MARIO CERVANTES, M.D., PA (NPI# 1891931457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891931457 |
| Entity Type | Organization |
| Organization Name | MARIO CERVANTES, M.D., PA |
| Other Organization Name | CLINICA ANGELES |
| Practice Address |
4922 Locust St Bellaire TX 77401-4040 |
| Mailing Address |
5210 Maple St Bellaire TX 77401 |
| Practice Telephone | 8326386072 |
| Practice Fax Number | 8883271505 |
| Mailing Telephone | 8326386072 |
| Mailing Fax Number | 8883271505 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | DR. MARIO CERVANTES (PRESIDENT) |
| Authorized Official Telephone | 8326386072 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
H7953 | TX | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
H7953 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | H7953 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 200034101 | 05 | |
| TX | CLIA | 45D2028678 | 01 |
| Other Name | Type Code |
|---|---|
| CLINICA ANGELES | Doing Business As Name - Organization |
| Street Address |
4922 LOCUST ST |
| City | BELLAIRE |
| State | TX |
| Zip Code | 77401-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935419 | Peace Anene | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-09-03 |
| 1134730732 | Emily Heggy | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-08-17 |
| 1184234197 | Brenda Escobar | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-08-04 |
| 1215545371 | Ana Josa Dominguez | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-07-15 |
| 1245856574 | Milton Hilton | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-06-23 |
| 1356967673 | Doris Portillo | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-06-23 |
| 1922624287 | Grace Rivera | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-06-23 |
| 1922629823 | Ronald Major | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-05-01 |
| 1871114942 | Lauren Mcmullen | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-04-30 |
| 1720614498 | Teodora Marta Takacs | Behavior Technician | 4922 Locust St, Bellaire, TX 77401-4040 | 2020-03-13 |
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|---|---|---|---|---|
| 1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
| 1316423767 | Nancy Abraham | Pharmacist | 5160 Bissonnet St, Bellaire, TX 77401 | 2018-07-18 |
| 1356856033 | H-e-b, Lp | Clinical Medical Laboratory | 5106 Bissonnet St, Bellaire, TX 77401 | 2017-12-04 |
| 1457884371 | Damian Duplechain | Counselor | 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 | 2017-04-07 |
| 1659804672 | Stephanie Nelson | Behavioral Analyst | 6607 S Rice Ave, Bellaire, TX 77401 | 2017-04-06 |
| 1750839478 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 | 2016-09-12 |
| 1003287657 | Juna Medical LLC | Durable Medical Equipment & Medical Supplies | 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 | 2015-10-08 |
| 1366820201 | Jennifer Lorene Christian | Counselor | 5959 West Loop South, Suite 515, Bellaire, TX 77401 | 2015-05-12 |
| 1326430778 | Margaret Mcalpin Crady | Social Worker | 6750 West Loop South, # 860, Bellaire, TX 77401 | 2015-02-23 |
| 1952702193 | Sally Eisen Miller | Marriage & Family Therapist | 5909 West Loop S. #590, Bellaire, TX 77401 | 2014-09-08 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1437136280 | Chaganlal N. Patel | General Practice | 3000 Guernsey St, Suite 17, Bellaire, OH 43906-1540 | 2005-12-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.