Individual
MS. GINA E MARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
1194800
—
363A00000X
Physician Assistant
Primary
1194800
—
Other
Enumeration date
03/21/2022
Last updated
03/31/2025
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