Individual
DAVID ALVARO MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 E GRIFFIN PKWY, SUITE 201 B, MISSION, TX 78572-2400
(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
01/09/2007
Last updated
10/14/2020
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