Organization
JAIME L MAYORAL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME L MAYORAL MD (OWNER)
(210) 212-4114
Entity
Organization
Contact information
Practice address
315 N SAN SABA, SUITE 1240, SAN ANTONIO, TX 78207-3154
(210) 212-4114
(210) 212-4012
Mailing address
PO BOX 596, SAN ANTONIO, TX 78292-0596
(210) 212-4114
(210) 212-4012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J9199
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
J9199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160960401
—
TX
Enumeration date
07/08/2006
Last updated
04/03/2009
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