Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mario Rizalino Bascon Roa Jr., MD

Individual provider Family Medicine Physician · NPI 1740445758

Dr. Mario Rizalino Bascon Roa Jr., MD is registered under Family Practice in College Station, Texas. Qualified in 1991, 35 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
35
Licensed in
TX
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4421 Highway 6 S Ste 100
College Station, TX 77845-6176
Phone: (979) 731-5200
Fax: (979) 731-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1530 Texas Ave S Ste 100, College Station, TX 77840-3329 — (979) 690-4878

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N7865 (TX)

Record details

NPI number1740445758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2008
Last updated in NPPESNovember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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