Organization
JENNIFER BETH MAZER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BETH MAZER (PRESIDENT)
(936) 564-4446
Entity
Organization
Contact information
Practice address
2714 N. UNIVERSITY DR., SUITE 100, NACOGDOCHES, TX 75965
(936) 564-4446
Mailing address
2714 N. UNIVERSITY DR., SUITE 100, NACOGDOCHES, TX 75965
(936) 564-4446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L5043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208543301
—
TX
Enumeration date
01/11/2010
Last updated
09/18/2012
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