Provider Demographics
NPI:1083093660
Name:ESPARZA, MARY JOSEPHINE A (DO)
Entity Type:Individual
Prefix:
First Name:MARY JOSEPHINE
Middle Name:A
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:11130 CHRISTUS HLS
Mailing Address - Street 2:MEDICAL PLAZA 3, SUITE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3585
Mailing Address - Country:US
Mailing Address - Phone:210-703-9045
Mailing Address - Fax:210-703-9009
Practice Address - Street 1:2000 TRANS MOUNTAIN RD STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911
Practice Address - Country:US
Practice Address - Phone:915-215-8400
Practice Address - Fax:915-612-9254
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2018-07-26
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Provider Licenses
StateLicense IDTaxonomies
TXR7206207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine