Mario a. Quintanilla MD, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

F1201 Issued in TX

Legal business name

MARIO A. QUINTANILLA MD, PLLC

Practice address

5866 S Staples St
Suite #401
Corpus Christi, TX 78413-3700

Phone

(361) 993-4793

Fax

(361) 993-1118

NPI assigned

Aug 20, 2011

Last updated

Aug 20, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mario A. Quintanilla, MDNPI 1871552729

Title

MD

Phone

(361) 993-4793

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario A Quintanilla, MD

  • Child & Adolescent Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1871552729
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313798400000",
    "number": "1508146622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST",
            "address_2": "SUITE #401",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133700",
            "telephone_number": "361-993-4793",
            "fax_number": "361-993-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST",
            "address_2": "SUITE #401",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133700",
            "telephone_number": "361-993-4793",
            "fax_number": "361-993-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A. QUINTANILLA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-20",
        "last_updated": "2011-08-20",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "361-993-4793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "F1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139788713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Luisa Lira MD PA
• Marian Hendricks DO PA
• Luisa Marin Cunha, MD
• Lisa Marie Marin
• Manuel Jose Marin, MD
• Brandy Rae Marion, LMT
• Mark a. Dodson PLLC
• Mark D. Rasmusson, M.D., P.a.
• Alison J Marks, PSY.D.
• Meagan Dubeau Marksbury, LPC

• Clinical Neuropsychologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.