Organization
DAVID A. MAYORGA, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALVARO MAYORGA M.D. (PRESIDENT/OWNER)
(956) 424-3052
Entity
Organization
Contact information
Practice address
1022 E GRIFFIN PKWY STE 201, MISSION, TX 78572-2402
(956) 424-3052
(956) 424-3219
Mailing address
3201 SAN CLEMENTE, MISSION, TX 78572-7682
(956) 424-3052
(956) 424-3219
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
L8428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162581602
—
TX
01
—
8V4021
BLUE CROSS
TX
Enumeration date
07/06/2012
Last updated
09/18/2012
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