Individual provider · Type 1 NPI
Jeanna Michelle Mascorro, DPM
Foot & Ankle Surgery Podiatrist · Galveston, TX
NPI number
1477828127
Active
Practice location
4920 Seawall Blvd, Ste B
Galveston, TX 77551-6011
Fax (409) 405-1728
Mailing address
PO Box 1553
Galveston, TX 77553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | T16-2011 (TX) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2016 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1477828127
Jeanna Michelle Mascorro, DPM's National Provider Identifier is 1477828127, issued on Mar 14, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Galveston, TX. The record was last updated on Dec 2, 2021.