Individual
MR. GREGORY WILLIAM MAZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6655 FIRST PARK TEN BLVD STE 200, SAN ANTONIO, TX 78213-4304
(210) 737-8090
Mailing address
11343 BALD MTN, SAN ANTONIO, TX 78245-2663
(210) 286-9234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
667377
TX
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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