Provider Demographics
NPI:1083982383
Name:MAZER, MARY (NP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MAZER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HUNTERS VLG
Mailing Address - Street 2:STE. 105
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4803
Mailing Address - Country:US
Mailing Address - Phone:830-625-7612
Mailing Address - Fax:830-627-9357
Practice Address - Street 1:212 HUNTERS VLG
Practice Address - Street 2:STE. 105
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4803
Practice Address - Country:US
Practice Address - Phone:830-625-7612
Practice Address - Fax:830-627-9357
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX709780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily