Search › Texas › 1223P0221X
Mauricio Marcushamer, DDS
NPI 1699842690 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3006 Broadway Ste 103
San Antonio, TX 78209 - Phone
- (210) 225-8888
- Fax
- (210) 225-4195
- Organisation at this address
- Broadway Pediatric Dentistry, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas