Provider Demographics
NPI:1780804443
Name:SARIOL, OSCAR JR (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:SARIOL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 S M ST
Mailing Address - Street 2:SUITE1
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1555
Mailing Address - Country:US
Mailing Address - Phone:956-686-4824
Mailing Address - Fax:956-683-1014
Practice Address - Street 1:2108 S M ST
Practice Address - Street 2:SUITE1
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1555
Practice Address - Country:US
Practice Address - Phone:956-686-4824
Practice Address - Fax:956-683-1014
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0410208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E63104Medicare UPIN