Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | L4546 | TX |
NPI | 1205900487 |
---|---|
Provider Name | Dr. Maria A Macias |
First Address | Mcallen, TX 78503-1555 |
Second Address | Mcallen, TX 78503-1555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 18/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154594901 | (05) | TX |
F84299 | (02) |