Healthcare Provider Details

I. General information

NPI: 1518341148
Provider Name (Legal Business Name): MARIA A PALAFOX. MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8019 S NEW BRAUNFELS AVENUE SUITE 101
SAN ANTONIO TX
78235-1069
US

IV. Provider business mailing address

703 W OAKLAWN RD 319
PLEASANTON TX
78064-4039
US

V. Phone/Fax

Practice location:
  • Phone: 210-504-5087
  • Fax: 210-504-5061
Mailing address:
  • Phone: 210-682-0140
  • Fax: 210-682-3238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberM2516
License Number StateTX

VIII. Authorized Official

Name: DR. MARIA A PALAFOX
Title or Position: MD/OWNER
Credential: M.D.
Phone: 210-504-5087