MAURICIO ANTONIO CENTENO

SAN ANTONIO, TX
NPI1679865265
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  SA00481)
Enumeration Date2011-05-14
Last Update Date2020-02-01
Business Address
MAURICIO ANTONIO CENTENO LSA
19026 STONE OAK PKWY STE 210B
SAN ANTONIO, TX 78258-3229
Phone number: 210-606-8213
Mailing Address
MAURICIO ANTONIO CENTENO LSA
19026 STONE OAK PKWY STE 210B
SAN ANTONIO, TX 78258-3229
Phone number: 210-606-8213