Mark Lawrence Mazow in Dallas - Ophthalmic Plastic And Reconstructive Surgery
Mark Lawrence Mazow - NPI 1639173669
Mark Lawrence Mazow is a Ophthalmic Plastic And Reconstructive Surgery in Dallas, Texas. Mark Lawrence Mazow practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Mark Lawrence Mazow is 1639173669. The last update date is 2022-11-02.
Mark Lawrence Mazow's current location address is 7777 Forest Lane, Dallas, Texas. You can contact this provider via phone number 9725662020 and fax number 9725665454. The mailing address for Mark Lawrence Mazow is 7777 Forest Lane, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lawrence Mazow |
|---|---|
| Address | 7777 Forest Lane, Dallas, Texas |
| Phone Number | 9725662020 |
| Fax Number | 9725665454 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639173669 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2022-11-02 |
Provider Mailing Address Detail
| Address | 7777 Forest Lane |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 7523025710 |
| Phone Number | 9725662020 |
| Fax Number | 9725665454 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | H2575 |
|
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100401610B | TX | KANSAS MEDICAID | |
| 131458501 | TX | CID | |
| 388561 | TX | WELLCARE PPO | |
| 4232994 | TX | AETNA PPO, POS, & EPO | |
| 81148 | TX | PCA | |
| 20801 | TX | TOTAL VISION HEALTHCARE | |
| 29761 | TX | AMERIGROUP/AMERICAID | |
| 2819152007 | TX | TOTAL VISION HEALTHCARE | |
| 5692 | TX | PARKLAND KIDS FIRST | |
| 3566323 | TX | HEALTH MARKET |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Lawrence Mazow?
The Mark Lawrence Mazow has been issued the NPI (National Provider Identifier) 1639173669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mark Lawrence Mazow is physically located?
The Mark Lawrence Mazow is situated at the following address: 7777 Forest Lane, Dallas, TX 7523025710.
What is Mark Lawrence Mazow's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Lawrence Mazow is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 207Wx0200X.
On what date did Mark Lawrence Mazow receive its 1639173669 assignment from the Centers for Medicare & Medicaid Services?
The Mark Lawrence Mazow was assigned its 1639173669 on 2005-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Lawrence Mazow, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Lawrence Mazow, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-02.