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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RUSSELL MASCARENHAS, MD
107 1/2 SWIFT ST
REFUGIO, TX78377-2425
 Phone: 361-526-5328
 Fax: 361-526-5670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUSSELL MASCARENHAS · (Male)

NPI Number 1497863906
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 08/17/2010 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
TX License # K0920
TX Medicaid 121272202
TX Medicare PIN 8046J4
TX Medicare UPIN G30920
TX Other K0920 STATE MEDICAL LICENSE
Hospital affiliation(s)
  • CHRISTUS SPOHN HOSPITAL BEEVILLE - (Acute Care)
    1500 E HOUSTON HWY
    BEEVILLE, TX 78102
  • CITIZENS MEDICAL CENTER - (Acute Care)
    2701 HOSPITAL DRIVE
    VICTORIA, TX 77901
  • DETAR HOSPITAL NAVARRO - (Acute Care)
    506 E SAN ANTONIO ST
    VICTORIA, TX 77902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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