Individual
DR. MARCELA MAZO CANOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1143
(210) 450-0407
Mailing address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1143
(210) 450-0407
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
Q8559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379195602
—
TX
01
—
379195603
CSHCN
TX
Enumeration date
06/07/2010
Last updated
10/11/2021
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