M Bandeira Teixeira MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

M BANDEIRA TEIXEIRA MD PA

Practice address

312 E 2ND St
Alice, TX 78332-4806

Phone

(361) 664-5535

Fax

(361) 664-1797

NPI assigned

Nov 24, 2009

Last updated

May 3, 2010By 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. Mauricio Bandeira Teixeira, M.D.

Title

Proprietor

Phone

(361) 664-5535

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1699003988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 2ND ST",
            "address_2": "P. O. BOX 1211",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324806",
            "telephone_number": "361-664-5535",
            "fax_number": "361-664-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 2ND ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324806",
            "telephone_number": "361-664-5535",
            "fax_number": "361-664-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M BANDEIRA TEIXEIRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "TEIXEIRA",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "BANDEIRA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "361-664-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1033293345",
            "identifier": "1033293345",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208600000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lopez, COTA
• Jo Angela Lopez, MASSAGE THERAPIST
• Sylvia Marisa Lozano, M.A.
• Diane Luna, RRT
• Ramiro Luna Jr., L.P.C
• Errol Manly, PT
• Jean Andrews Maresch, LPC
• Jackie Dee Marquez, COTA
• Alyse Nicole Martinez, PTA
• Consuelo Iliana Martinez

• Surgery Physician in Alice, TX
• Providers in Alice, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.