Provider Demographics
NPI:1730760323
Name:ROSAS CARRAZCO, MAYRA LUCIA (MD)
Entity type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:LUCIA
Last Name:ROSAS CARRAZCO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:801 S MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5056
Mailing Address - Country:US
Mailing Address - Phone:956-686-0574
Mailing Address - Fax:956-686-3301
Practice Address - Street 1:801 S MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5056
Practice Address - Country:US
Practice Address - Phone:956-686-0574
Practice Address - Fax:956-686-3301
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXV4481207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine