Mario J. Portocarrero M.d., P.a.

NPI #1174558670 in Houston, Texas

Provider Information

NPI Number: 1174558670
Entity Type: Organization
Organization Name: Mario J. Portocarrero M.d., P.a.
Primary Specialty: Pediatrics
Enumeration Date: Jul 12, 2006
Last Updated: Sep 7, 2008

Practice Location

Address: 6550 MAPLERIDGE ST
Address 2: SUITE 101 AC
City: Houston
State: Texas
ZIP Code: 77081-4600
Phone: (713) 774-1401

Authorized Official

Name: DR. MARIO JOSE PORTOCARRERO, M.D.
Title: PRESIDENT
Phone: (713) 774-1401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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