Individual provider · Type 1 NPI

Sydni Mazer McGough, PA-C

Physician Assistant · San Antonio, TX

NPI number 1174207120 Active

Practice location

111 Dallas St
San Antonio, TX 78205-1201

Call (248) 924-5255 Map

Mailing address

7088 Cedarbank Dr
West Bloomfield, MI 48324-2400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174207120

Sydni Mazer McGough, PA-C's National Provider Identifier is 1174207120, issued on Jun 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Antonio, TX. The record was last updated on May 10, 2026.