Mazzagate, Brent Lane

Mazzagate, Brent Lane is an sole proprietor health care provider with primary practice located at 1003 Nederland Ave , Nederland TX 77627-2832. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mazzagate, Brent Lane can be contacted via phone (409) 344-4466.

Contact Information

Primary practice address
1003 Nederland Ave Nederland TX 77627-2832
Phone: (409) 344-4466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1008894 Texas

Profile Details

NPI number 1952904104
LBN Legal business name Mazzagate, Brent Lane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2020
Last updated Nov 19th, 2020 - about 4 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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