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1740445758
MARIO RIZALINO BASCON ROA
COLLEGE STATION, TX
NPI
1740445758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX N7865)
Enumeration Date
2008-07-20
Last Update Date
2018-11-28
Business Address
Dr. MARIO RIZALINO BASCON ROA M.D.
4421 HIGHWAY 6 S STE 100
COLLEGE STATION, TX 77845-6176
Phone number: 979-731-5200
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Mailing Address
Dr. MARIO RIZALINO BASCON ROA M.D.
1530 TEXAS AVE S STE 100
COLLEGE STATION, TX 77840-3329
Phone number: 979-690-4878
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