Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diego Mascorro, PA

Individual provider Physician Assistant · NPI 1962864728

Diego Mascorro, PA is a Physician Assistant in Laredo, Texas. Qualified in 2015, 11 years ago. Practices with Sports Medicine Associates of San Antonio PA, a 55-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1515 Pappas St
Laredo, TX 78041-1705
Phone: (956) 718-6259
Fax: (956) 718-6294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962864728
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016
Mailing addressPo Box 3397, Laredo, TX 78044-3397

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sports Medicine Associates Of San Antonio Pa — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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