Centeno, Mauricio Antonio

Centeno, Mauricio Antonio is an sole proprietor health care provider with primary practice located at 19026 Stone Oak Pkwy Ste 210B , San Antonio TX 78258-3229. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Centeno, Mauricio Antonio can be contacted via phone (210) 606-8213.

Contact Information

Primary practice address
19026 Stone Oak Pkwy Ste 210B San Antonio TX 78258-3229
Phone: (210) 606-8213
Fax: (210) 491-1349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA00481 Texas

Profile Details

NPI number 1679865265
LBN Legal business name Centeno, Mauricio Antonio
Credentials LSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2011
Last updated Feb 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679865265 NPPES
Texas Other 12678899 CAQH
Texas Other SA00481 CAQH

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