Individual
DR. JEANNA MICHELLE MASCORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4920 SEAWALL BLVD, STE B, GALVESTON, TX 77551-6011
(409) 405-1977
(409) 405-1728
Mailing address
PO BOX 1553, GALVESTON, TX 77553
(409) 405-1977
(409) 405-1728
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2016
TX
390200000X
Student in an Organized Health Care Education/Training Program
T16-2011
TX
Other
Enumeration date
03/14/2012
Last updated
12/02/2021
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