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Contact Information

JUSTIN R MASCITELLI, MD
4502 MEDICAL DR FL 2
SAN ANTONIO, TX78229
 Phone: 210-358-8555
 Fax: 210-358-8498
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUSTIN R MASCITELLI · (Male)

NPI # 1942524590
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2010
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 53433
  • TX License # R7270
  • AZ Medicaid 252267
  • TX Medicaid 386066001
  • TX Other 386066002 CSHCN
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    111 DALLAS STREET
    SAN ANTONIO, TX 78205
  • UNIVERSITY HEALTH SYSTEM - (Acute Care)
    4502 MEDICAL DR
    SAN ANTONIO, TX 78229
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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