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Mauricio Antonio Centeno, LSA
Surgical Physician Assistant in San Antonio, Texas
NPI 1679865265

Mauricio Antonio Centeno is a Surgical Physician Assistant based in San Antonio, TX and is specialized in Surgical. Mauricio Antonio Centeno practices in San Antonio, TX and has the professional credentials of LSA. The NPI Number for Mauricio Antonio Centeno is 1679865265 and holds a License No. SA00481 (Texas).

The current practice location address for Mauricio Antonio Centeno is 19026 Stone Oak Pkwy Ste 210B, San Antonio, TX and can be reached out via phone at 210-606-8213 and via fax at 210-491-1349.

Location: 19026 Stone Oak Pkwy Ste 210B, San Antonio, TX, 78258-3229
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Provider Profile Details
NPI Number
1679865265
Provider Name
Mauricio Antonio Centeno
Credential
LSA
Provider Entity Type
Individual
Gender
Male
Address
19026 Stone Oak Pkwy Ste 210B, San Antonio, TX, 78258-3229
Phone Number
210-606-8213
Fax Number
210-491-1349
Provider Enumeration Date
05/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12678899 01 TX CAQH
SA00481 01 TX SURGICAL ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
19026 Stone Oak Pkwy Ste 210B
City
State
Zip
78258-3229
Phone Number
210-606-8213
Fax Number
210-491-1349
person
Provider Business Mailing Address Details
Address
19026 Stone Oak Pkwy Ste 210B
City
State
Zip
78258-3229
Phone Number
210-606-8213
Fax Number
210-491-1349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
SA00481 (Texas)
Definition
Definition to come...
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