MARIO A. QUINTANILLA MD PLLC NPI 1508146622

NPI Information

  • NPI: 1508146622
  • Provider Name: MARIO A. QUINTANILLA MD, PLLC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 5866 S STAPLES ST
    SUITE #401
    CORPUS CHRISTI, TX
    ZIP 78413
  • Phone: (361) 993-4793

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NPI Details

MARIO A. QUINTANILLA MD, PLLC is a clinical neuropsychologist in Corpus Christi, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MARIO A. QUINTANILLA MD, PLLC NPI is 1508146622. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5866 S STAPLES ST
SUITE #401
CORPUS CHRISTI, TX
ZIP 78413-700
Phone: (361) 993-4793
Fax: (361) 993-1118

The provider's authorized official is Mario A. Quintanilla .
The authorized official title is Md and has the following contact phone number (361) 993-4793.

The enumeration date for this NPI number is 8/20/2011 and was last updated on 8/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistF1201TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1139788713MEDICAIDTEXAS
2E07946MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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