Vicente F Maza, MD

Individual provider Active NPI Diagnostic Ultrasound Physician · Borger, TX

NPI 1376579862 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1376579862
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Ultrasound Physician 2085U0001X
License
E7186 (TX)
Practice address
200 S McGee St
Borger, TX 79007-4022
Phone
(806) 355-6593
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7186TXMDDiagnostic Ultrasound Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X E7186 TX
Diagnostic Radiology Physician 2085R0202X E7186 TX
Vascular & Interventional Radiology Physician 2085R0204X E7186 TX
Diagnostic Ultrasound Physician 2085U0001X E7186 TX Yes

Addresses

Primary practice location

200 S McGee St
Borger, TX 79007-4022

Mailing address

PO Box 8337
Amarillo, TX 79114-8337
Phone (806) 355-6593

Other identifiers

IdentifierTypeStateIssuer
00F28ZOtherBLUE CROSS

Other providers in Borger, TX

All providers in Borger, TX · Diagnostic Ultrasound Physician in Texas

Sources for this page

Verify at the official NPI Registry.