Provider Demographics
NPI:1740285675
Name:PIZARRO, MARIA DELOS ANGELES (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DELOS ANGELES
Last Name:PIZARRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7121 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4938
Mailing Address - Country:US
Mailing Address - Phone:361-993-6000
Mailing Address - Fax:361-993-3676
Practice Address - Street 1:7121 S PADRE ISLAND DRIVE
Practice Address - Street 2:STE 200
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4940
Practice Address - Country:US
Practice Address - Phone:361-993-6000
Practice Address - Fax:361-993-3676
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9272207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044720301Medicaid
F47289Medicare UPIN
TX044720301Medicaid