Individual
DIEGO MASCORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 718-6259
(956) 718-6294
Mailing address
PO BOX 3397, LAREDO, TX 78044-3397
(956) 718-6259
(956) 718-6294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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