Mazo Canola, Marcela

Mazo Canola, Marcela is an individual health care provider with primary practice located at 7979 Wurzbach Rd , San Antonio TX 78229-4427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Mazo Canola, Marcela can be contacted via phone (210) 450-1143.

Contact Information

Primary practice address
7979 Wurzbach Rd San Antonio TX 78229-4427
Fax: (210) 450-0407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X Q8559 Texas

Profile Details

NPI number 1801116462
LBN Legal business name Mazo Canola, Marcela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2010
Last updated Oct 11th, 2021 - about 5 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 1801116462 NPPES
Texas Other 379195603 CSHCN
Texas MEDICAID 379195602 CSHCN

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