Provider Demographics
NPI:1609656479
Name:OROPEZA, MARYTHER (SA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARYTHER
Middle Name:
Last Name:OROPEZA
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6207 KATY GASTON RD APT 2304
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7449
Mailing Address - Country:US
Mailing Address - Phone:346-512-7191
Mailing Address - Fax:
Practice Address - Street 1:6544 GREATWOOD PKWY STE A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6808
Practice Address - Country:US
Practice Address - Phone:832-648-3306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23-513246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant