Individual
DR. VICENTE F MAZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S MCGEE ST, BORGER, TX 79007-4022
(806) 355-6593
Mailing address
PO BOX 8337, AMARILLO, TX 79114-8337
(806) 355-6593
(806) 352-8774
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
E7186
TX
2085R0202X
Diagnostic Radiology Physician
E7186
TX
2085R0204X
Vascular & Interventional Radiology Physician
E7186
TX
2085U0001X
Diagnostic Ultrasound Physician
Primary
E7186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F28Z
BLUE CROSS
—
Enumeration date
06/25/2006
Last updated
09/11/2025
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