Individual
MARK A KAZEWYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5200
(817) 299-1708
Mailing address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5200
(817) 299-1708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L5404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DN698
BLUECROSS BLUESHIELD OF TEXAS
TX
05
—
PENDING
—
TX
Enumeration date
06/07/2006
Last updated
07/06/2021
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