MEDICARE: DR. NATALIE PORTILLO ALOIA 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
1	208000000X	Pediatrics Physician	L6759	TX

General Provider Information

NPI Number	:	1700917457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE PORTILLO ALOIA MD

Provider Business Mailing Address
First Line	:	2610 WINSTON CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-9132
Country	:	US
Telephone Number	:	832-623-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	9809 ROWLETT RD
Second Line	:	SUITE A-1
City	:	HOUSTON
State	:	TX
Zip	:	77075-3403
Country	:	US
Telephone Number	:	713-644-1119
Fax Number	:	713-644-0900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	01/10/2017

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