Jennifer Beth Mazer, M.D., P.A.

LBN: Jennifer Beth Mazer, M.D., P.A.
Jennifer Beth Mazer, M.D., P.A. is an health care organization with primary practice located at 2714 N. University Dr. Suite 100, Nacogdoches TX 75965. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Jennifer Beth Mazer, M.D., P.A. can be contacted via phone (936) 564-4446, or through Mazer, Jennifer Beth via phone (936) 564-4446.

Contact Information

Primary practice address
2714 N. University Dr. Suite 100 Nacogdoches TX 75965
Phone: (936) 564-4446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mazer, Jennifer Beth
Phone: (936) 564-4446

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L5043 Texas

Profile Details

NPI number 1619207883
LBN Legal business name Jennifer Beth Mazer, M.D., P.A.
DBA Doing business as
Authorized official Mazer, Jennifer Beth
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2010
Last updated Sep 18th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619207883 NPPES
Texas MEDICAID 208543301

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