| San Antonio Oral & Maxillofacial Surgery Associates, P.a. | |
|
4025 E Southcross Blvd Building 1, Suite #5 San Antonio TX 78222-3641 | |
| (210) 337-8600 | |
| (210) 337-8606 |
| Full Name | San Antonio Oral & Maxillofacial Surgery Associates, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4025 E Southcross Blvd, San Antonio, Texas |
| Authorized Official Name and Position | James B. Mazock (OWNER) |
| Authorized Official Contact | 2106967500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Oral & Maxillofacial Surgery Associates, P.a. 5282 Medical Dr Suite # 316 San Antonio TX 78229-6044 Ph: (210) 696-7500 | San Antonio Oral & Maxillofacial Surgery Associates, P.a. 4025 E Southcross Blvd Building 1, Suite #5 San Antonio TX 78222-3641 Ph: (210) 337-8600 |
| NPI Number | 1992243976 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992243976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19367 (Texas) | Primary |
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