Individual
DR. KELLY M. MAZZARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 730-5437
Mailing address
PO BOX 845347, DALLAS, TX 75390-5347
(214) 730-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S1514
TX
Other
Enumeration date
04/24/2012
Last updated
06/03/2020
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