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Individual

MRS. L. ANNE MAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10141 US 59 HWY STE E1, WHARTON, TX 77488-7224
(979) 358-9410
(979) 358-9411
Mailing address
4911 SANDHILL DR, SUGAR LAND, TX 77479-5320
(281) 238-7870
(281) 633-4985

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
524792
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042487101
TX
05
042487105
TX
05
042487108
TX
01
500011692
RAILROAD GBA - RAILROAD MEDICARE
TX
01
875N31
BC/BS #
TX
01
PO1160255
RAILROAD MEDICARE #
TX
Enumeration date
04/28/2006
Last updated
07/13/2021
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