Mazuca, Maricela A

Mazuca, Maricela A is an individual health care provider with primary practice located at 1202 E. Sonterra Blvd Suite 102 , San Antonio TX 78258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mazuca, Maricela A can be contacted via phone (210) 271-3203.

Contact Information

Primary practice address
1202 E. Sonterra Blvd Suite 102 San Antonio TX 78258
Phone: (210) 271-3203
Fax: (210) 733-6983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03610 Texas

Profile Details

NPI number 1770582173
LBN Legal business name Mazuca, Maricela A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 15th, 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 1770582173 NPPES
Texas Other 8N4388 BCBS

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