Mazzare, Mark A
Mazzare, Mark A is an individual health care provider with primary practice located at 5380 Old Bullard Rd Ste 600-357 , Tyler TX 75703-3607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mazzare, Mark A can be contacted via phone (888) 316-5498.Contact Information
Primary practice address
5380 Old Bullard Rd Ste 600-357
Tyler TX 75703-3607
Phone: (888) 316-5498
Fax: (888) 979-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K3331 | Texas |
Profile Details
| NPI number | 1891769709 |
|---|---|
| LBN Legal business name | Mazzare, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 24th, 2023 - about last year |
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 | 1891769709 | NPPES |
| Texas | MEDICAID | 127039910 |
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