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Individual

THOMAS J. MRAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7441
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC 70042F
MEDI-CAL GROUP PROVIDER#
CA
01
FHC 70044F
MEDI-CAL GROUP PROVIDER#
CA
01
PSY 20869
PSYCHOLOGIST LICENSE
CA
01
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
07/21/2006
Last updated
08/09/2016
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