Doctor Name: | DR. VICENTE F MAZA |
NPI Number: | 1376579862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | E7186 |
Business Practice Address: | 200 S Mcgee St Borger, TX - 790074022 |
Business Phone Number: | 8063556593 |
Business Fax Number: | |
Mailing Address: | Po Box 8337, AMARILLO |
State: | TX |
Postal Code: | 791148337 |
Phone Number: | 8063556593 |
Fax Number: | 8063528774 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | E7186 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |