# SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992243976
- **Authorized official:** DR. JAMES B. MAZOCK DDS (OWNER)
- **Authorized official phone:** (210) 696-7500

## Contact information

- **Practice address:** 4025 E SOUTHCROSS BLVD, BUILDING 1, SUITE \#5, SAN ANTONIO, TX 78222-3641
- **Practice address phone:** (210) 337-8600
- **Practice address fax:** (210) 337-8606
- **Mailing address:** 5282 MEDICAL DR, SUITE \# 316, SAN ANTONIO, TX 78229-6044
- **Mailing address phone:** (210) 696-7500
- **Mailing address fax:** (210) 692-0248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 19367 | TX | Yes |

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017