| David A. Mayorga, M.d.,p.a. | |
|
1022 E Griffin Pkwy Ste 201 Mission TX 78572-2402 | |
| (956) 424-3052 | |
| (956) 424-3219 |
| Full Name | David A. Mayorga, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1022 E Griffin Pkwy Ste 201, Mission, Texas |
| Authorized Official Name and Position | David Alvaro Mayorga (PRESIDENT/OWNER) |
| Authorized Official Contact | 9564243052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Mayorga, M.d.,p.a. 3201 San Clemente Mission TX 78572-7682 Ph: (956) 424-3052 | David A. Mayorga, M.d.,p.a. 1022 E Griffin Pkwy Ste 201 Mission TX 78572-2402 Ph: (956) 424-3052 |
| NPI Number | 1750646675 |
|---|---|
| Provider Enumeration Date | 07/06/2012 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 2163678525 |
|---|---|
| Medicare Enrollment ID | O20120820000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750646675 | NPI | - | NPPES |
| 162581602 | Medicaid | TX | |
| 8V4021 | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | L8428 (Texas) | Primary |
| Provider Name | David A Mayorga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881743839 PECOS PAC ID: 5092798801 Enrollment ID: I20040611000904 |
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