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Dr. Jeanna Michelle Mascorro, DPM
Foot & Ankle Surgery Podiatrist in Galveston, Texas
NPI 1477828127

Jeanna Michelle Mascorro is a Foot & Ankle Surgery Podiatrist based in Galveston, TX and is specialized in Foot & Ankle Surgery. Jeanna Michelle Mascorro practices in Galveston, TX and has the professional credentials of DPM. The NPI Number for Jeanna Michelle Mascorro is 1477828127 and holds a License No. T16-2011 (Texas).

The current practice location address for Jeanna Michelle Mascorro is 4920 Seawall Blvd, Galveston, TX and can be reached out via phone at 409-405-1977 and via fax at 409-405-1728.

Location: 4920 Seawall Blvd, Galveston, TX, 77553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477828127
Provider Name
Jeanna Michelle Mascorro
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
4920 Seawall Blvd, Galveston, TX, 77553
Phone Number
409-405-1977
Fax Number
409-405-1728
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4920 Seawall Blvd
City
Galveston
State
Texas
Zip
77551-6011
Phone Number
409-405-1977
Fax Number
409-405-1728
person
Provider Business Mailing Address Details
Address
4920 Seawall Blvd
City
Galveston
State
Texas
Zip
77551-6011
Phone Number
409-405-1977
Fax Number
409-405-1728
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
2016 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T16-2011 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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