Kazewych, Mark A

Kazewych, Mark A is an individual health care provider with primary practice located at 800 Orthopedic Way , Arlington TX 76015-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kazewych, Mark A can be contacted via phone (817) 375-5200.

Contact Information

Primary practice address
800 Orthopedic Way Arlington TX 76015-1629
Fax: (817) 299-1708
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X L5404 Texas

Profile Details

NPI number 1063452944
LBN Legal business name Kazewych, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063452944 NPPES
Texas Other 8DN698 BLUECROSS BLUESHIELD OF TEXAS
Texas MEDICAID PENDING BLUECROSS BLUESHIELD OF TEXAS

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