Individual
MARISA ANN PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3913
(210) 297-4800
Mailing address
2026 SKULL VALLEY DR, SAN ANTONIO, TX 78245-2812
(210) 685-6418
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
206422
TX
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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