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Organization
GLAZAR MEDICAL PA
Active
Organization
GLAZAR MEDICAL PA
Active
Other names
Advanced Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL LAZAR DPM (OWNER)
(915) 593-3668
Entity
Organization
Contact information
Practice address
1387 GEORGE DIETER DR BLDG D-103, EL PASO, TX 79936-7410
(915) 593-3668
(915) 500-5633
Mailing address
1387 GEORGE DIETER DR BLDG D-103, EL PASO, TX 79936-7410
(915) 593-3668
(915) 500-5633
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091MD
BC/BS
TX
05
—
175592801
—
TX
05
—
175592802
—
TX
05
—
175592803
—
TX
Enumeration date
07/19/2005
Last updated
11/14/2025
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