Individual
ALINE NAYARA MAULAZ MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22110 YORKHAVEN, SAN ANTONIO, TX 78259-2138
(830) 928-3110
Mailing address
22110 YORKHAVEN, SAN ANTONIO, TX 78259-2138
(830) 928-3110
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
ABSA #16-625
TX
Other
Enumeration date
01/22/2017
Last updated
07/13/2019
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