Individual
MARY ELIZABETH PORISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR, SUITE 272, SAN ANTONIO, TX 78229-3735
(210) 614-3264
(210) 615-0888
Mailing address
1510 BELCLAIRE, SAN ANTONIO, TX 78258-4493
(210) 292-6635
(210) 292-7902
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
L0907
TX
Other
Enumeration date
04/25/2006
Last updated
09/21/2010
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