MEDICARE: MARIA A PALAFOX. MD, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	M2516	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M2516	OTHER	TX	MEDICAL LICENSE

General Provider Information

NPI Number	:	1518341148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA A PALAFOX. MD, PLLC

Provider Business Mailing Address
First Line	:	703 W OAKLAWN RD
Second Line	:	319
City	:	PLEASANTON
State	:	TX
Zip	:	78064-4039
Country	:	US
Telephone Number	:	210-682-0140
Fax Number	:	210-682-3238

Provider Business Practice Location Address
First Line	:	8019 S NEW BRAUNFELS AVENUE
Second Line	:	SUITE 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-1069
Country	:	US
Telephone Number	:	210-504-5087
Fax Number	:	210-504-5061

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

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	07/15/2015

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