Most Relevant Information
Provider Data
| NPI Number: | 1003041666 |
| Provider Name: | MARIZU BORREGO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA-05816 |
Most Important Dates
| Enumeration Date: | 05/26/2009 |
| Last Updated: | 06/27/2024 |
Provider Practice Location
19272 STONE OAK PKWY
SUITE 101
SAN ANTONIO
TX
782583371
Practice Location Phone/Fax
| Phone: | 2102658851 |
| Fax: | 2102658855 |
Provider Mailing Location
19272 STONE OAK PKWY
SUITE 101
SAN ANTONIO
TX
782583371
Provider Mailing Phone/Fax
| Phone: | 2102658851 |
| Fax: | 2102658855 |