Most Relevant Information
Provider Data
| NPI Number: | 1003581844 |
| Provider Name: | MICHAEL MASCORRO |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2021 |
| Last Updated: | 08/13/2021 |
Provider Practice Location
310 N WESTGATE DR
WESLACO
TX
785962700
Practice Location Phone/Fax
| Phone: | 9564475912 |
| Fax: |
Provider Mailing Location
310 N WESTGATE DR
WESLACO
TX
785962700
Provider Mailing Phone/Fax
| Phone: | 9564475912 |
| Fax: |