Provider Demographics
NPI:1134144678
Name:MAZZA, FRANK S JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:S
Last Name:MAZZA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4418 TIMBER HILL DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5146
Mailing Address - Country:US
Mailing Address - Phone:281-565-8503
Mailing Address - Fax:
Practice Address - Street 1:4660 SWEETWATER BLVD STE 170
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3164
Practice Address - Country:US
Practice Address - Phone:281-242-2221
Practice Address - Fax:281-242-2225
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4333207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F2045Medicare ID - Type Unspecified
TXF68322Medicare UPIN