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Maricela A Mazuca, PA
Medical Physician Assistant in San Antonio, Texas
NPI 1770582173

Maricela A Mazuca is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Maricela A Mazuca practices in San Antonio, TX and has the professional credentials of PA. The NPI Number for Maricela A Mazuca is 1770582173 and holds a License No. PA03610 (Texas).

The current practice location address for Maricela A Mazuca is 1202 E. Sonterra Blvd Suite 102, San Antonio, TX and can be reached out via phone at 210-271-3203 and via fax at 210-733-6983.

Location: 1202 E. Sonterra Blvd Suite 102, San Antonio, TX, 78258
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Provider Profile Details
NPI Number
1770582173
Provider Name
Maricela A Mazuca
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1202 E. Sonterra Blvd Suite 102, San Antonio, TX, 78258
Phone Number
210-271-3203
Fax Number
210-733-6983
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N4388 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1202 E. Sonterra Blvd Suite 102
City
State
Zip
78258
Phone Number
210-271-3203
Fax Number
210-733-6983
person
Provider Business Mailing Address Details
Address
1202 E. Sonterra Blvd Suite 102
City
State
Zip
78258
Phone Number
210-271-3203
Fax Number
210-733-6983
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA03610 (Texas)
Definition
Definition to come...
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