NPIMap

Organization Active NPI

Mario R Anzaldua MD PA

  • Family Medicine Physician
  • Mission, TX
National Provider Identifier
1740626340
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9142 Issued in TX
Legal business name
MARIO R ANZALDUA MD PA
Practice address
1512 E Griffin Pkwy Ste 2
Mission, TX 78572-2422
Phone
(956) 519-7088
Fax
(956) 519-9816
NPI assigned
May 22, 2013
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dr. Mario R Anzaldua, MDNPI 1528003936
Title
President
Phone
(956) 519-7088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F9142 TX Primary

Addresses

Primary practice location

1512 E Griffin Pkwy Ste 2
Mission, TX 78572-2422

Mailing address

1512 E Griffin Pkwy Ste 2
Mission, TX 78572-2422
Phone (956) 519-7088

Other identifiers 1

IdentifierTypeStateIssuer
F9142OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509000154 TX Part B Supplier - Clinic/Group Practice 6507099942 Receives reassigned benefits from 6 practitioners
Practice locations: Mission, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0503785Mario R Anzaldua MD1512 E Griffin Parkway Suite 2, Mission, TX 78572AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

1512 E Griffin Pkwy
Ste 2
Mission, TX 78572
Phone (956) 519-7088

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1740626340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E GRIFFIN PKWY STE 2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722422",
            "telephone_number": "956-519-7088",
            "fax_number": "956-519-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E GRIFFIN PKWY STE 2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722422",
            "telephone_number": "956-519-7088",
            "fax_number": "956-519-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO R ANZALDUA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "ANZALDUA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-519-7088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "F9142",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.