Provider Demographics
NPI:1205900487
Name:MACIAS, MARIA A (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:MACIAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2108 S M ST
Mailing Address - Street 2:STE1
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1555
Mailing Address - Country:US
Mailing Address - Phone:956-686-4824
Mailing Address - Fax:956-683-1014
Practice Address - Street 1:2801 S M ST
Practice Address - Street 2:STE1
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1555
Practice Address - Country:US
Practice Address - Phone:956-686-4824
Practice Address - Fax:956-683-1014
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2012-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL4546207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154594901Medicaid
TX154594901Medicaid
8A1127Medicare ID - Type Unspecified