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Organization
MAZZARE MEDICAL, PLLC
Active
Organization
MAZZARE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN MAZZARE M.D. (M.D./OWNER)
(903) 245-3242
Entity
Organization
Contact information
Practice address
5380 OLD BULLARD RD STE 600-357, TYLER, TX 75703-3607
(903) 245-3242
(877) 903-6204
Mailing address
5380 OLD BULLARD RD STE 600-357, TYLER, TX 75703-3607
(903) 245-3242
(877) 903-6204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299868401
—
TX
Enumeration date
01/30/2012
Last updated
01/27/2017
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