Mazow, Mark Lawrence
Mazow, Mark Lawrence is an individual health care provider with primary practice located at 7777 Forest Lane Suite C-710, Dallas TX 75230-2571. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mazow, Mark Lawrence can be contacted via phone (972) 566-2020.Contact Information
Primary practice address
7777 Forest Lane Suite C-710
Dallas TX 75230-2571
Phone: (972) 566-2020
Fax: (972) 566-5454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | H2575 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | H2575 | Texas |
Profile Details
| NPI number | 1639173669 |
|---|---|
| LBN Legal business name | Mazow, Mark Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Nov 2nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639173669 | NPPES |
| Texas | Other | 100401610B | KANSAS MEDICAID |
| Texas | Other | 131458501 | KANSAS MEDICAID |
| Texas | Other | 388561 | KANSAS MEDICAID |
| Texas | Other | 4232994 | KANSAS MEDICAID |
| Texas | Other | 081148 | KANSAS MEDICAID |
| Texas | Other | 20801 | KANSAS MEDICAID |
| Texas | Other | 29761 | KANSAS MEDICAID |
| Texas | Other | 2819152007 | KANSAS MEDICAID |
| Texas | Other | 5692 | KANSAS MEDICAID |
| Texas | Other | 3566323 | KANSAS MEDICAID |
| Texas | Other | 8658B7 | KANSAS MEDICAID |
| Texas | Other | H2575 | KANSAS MEDICAID |
| Texas | Other | 0612278 | KANSAS MEDICAID |
| Texas | Other | 8658B7 | KANSAS MEDICAID |
| Texas | Other | 180009584 | KANSAS MEDICAID |
| Texas | Other | 100752320A | KANSAS MEDICAID |
| Texas | Other | 128003001 | KANSAS MEDICAID |
| Texas | Other | 358046 | KANSAS MEDICAID |
| Texas | Other | 388561 | KANSAS MEDICAID |
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