Mazade, Marc A
Mazade, Marc A is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Mazade, Marc A can be contacted via phone (682) 885-6800.Contact Information
Primary practice address
1500 Cooper St
Fort Worth TX 76104-2710
Phone: (682) 885-6800
Fax: (817) 885-2106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | K9845 | Texas |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | K9845 | Texas |
Profile Details
NPI number | 1902999097 |
---|---|
LBN Legal business name | Mazade, Marc A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Apr 12th, 2023 - about 2 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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