Provider Demographics
NPI:1861467912
Name:MASCARENHAS, ALIPIO B (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIPIO
Middle Name:B
Last Name:MASCARENHAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16800 DALLAS PKWY
Mailing Address - Street 2:STE 150
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-733-7242
Mailing Address - Fax:972-733-7257
Practice Address - Street 1:16800 DALLAS PKWY
Practice Address - Street 2:STE 150
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:972-733-7242
Practice Address - Fax:972-733-7257
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF35482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89X252Medicare ID - Type Unspecified
D66888Medicare UPIN