Mazzare Medical, Pllc

NPI #1124390638 in Tyler, Texas

Provider Information

NPI Number: 1124390638
Entity Type: Organization
Organization Name: Mazzare Medical, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 30, 2012
Last Updated: Jan 27, 2017

Practice Location

Address: 5380 OLD BULLARD RD STE 600-357
City: Tyler
State: Texas
ZIP Code: 75703-3607
Phone: (903) 245-3242

Authorized Official

Name: DR. MARK ALAN MAZZARE, M.D.
Title: M.D./OWNER
Phone: (903) 245-3242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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