Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mauricio Antonio Centeno, LSA

Individual provider Surgical Physician Assistant · NPI 1679865265

Mauricio Antonio Centeno, LSA is a Surgical Physician Assistant in San Antonio, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2011
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Practice location Address checks out

19026 Stone Oak Pkwy Ste 210B
San Antonio, TX 78258-3229
Phone: (210) 606-8213
Fax: (210) 491-1349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3806 Mira Mesa, San Antonio, TX 78259-2438 — (210) 606-8213

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00481 (TX)

Record details

NPI number1679865265
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedMay 14, 2011
Last updated in NPPESFebruary 1, 2020
Certification dateFebruary 1, 2020

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