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NPI Code Detail

MEDICARE: DR. MARIANO PALACIOS MD

MEDICARE: DR. MARIANO PALACIOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianH9132TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407840820
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIANO PALACIOS MD
Provider Business Mailing Address
First Line : 4532 N MESA ST STE 2A
Second Line :
City : EL PASO
State : TX
Zip : 79912-6287
Country : US
Telephone Number : 915-275-0910
Fax Number : 915-275-0911
Provider Business Practice Location Address
First Line : 4532 N MESA ST STE 2A
Second Line :
City : EL PASO
State : TX
Zip : 79912-6287
Country : US
Telephone Number : 915-275-0910
Fax Number : 915-275-0911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 05/22/2025

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Directions to “ DR. MARIANO PALACIOS MD” Practice Location

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