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MAZZARE MEDICAL, PLLC
NPI 1124390638
Internal Medicine in Tyler, TX

Active since January 30, 2012
5380 OLD BULLARD RD STE 600-357, TYLER, TX 75703(903) 245-3242(877) 903-6204 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mazzare Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAZZARE MEDICAL, PLLC (NPI 1124390638) is a healthcare organization registered as an internal medicine in Tyler, Texas and active in the NPI registry since January 2012. The organization lists Mark Alan Mazzare, M.d./owner, as its authorized official.

NPPES Registry Identity

NPI1124390638
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAZZARE MEDICAL, PLLC
Location Address5380 OLD BULLARD RD STE 600-357Tyler, TX 75703-3607
Mailing Address5380 Old Bullard Rd Ste 600-357Tyler, TX 75703-3607 · (903) 245-3242 · Fax (877) 903-6204
Phone(903) 245-3242
Fax(877) 903-6204
Organization SubpartNo
Authorized OfficialMark Alan MazzareM.d./owner · (903) 245-3242
Enumeration DateJanuary 30, 2012
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1124390638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · K3331
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5380 OLD BULLARD RD STE 600-357, Tyler, TX 75703
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Other Identifiers 2

Medicaid299868401TX
Medicare PINTXB152862TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK A MAZZARE M.D.
Internal Medicine
5380 OLD BULLARD RD STE 600-357
TYLER, TX 75703
Smith County (888) 316-5498

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mazzare Medical, PLLC's NPI number?

The NPI number for Mazzare Medical, PLLC is 1124390638. It was assigned to this organization in the NPPES registry on January 30, 2012.

Where is Mazzare Medical, PLLC located?

Mazzare Medical, PLLC is located at 5380 Old Bullard Rd Ste 600-357, Tyler, TX 75703. The listed phone number is (903) 245-3242.

What is Mazzare Medical, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mazzare Medical, PLLC was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.