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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