Mazow, Mark Lawrence
Mazow, Mark Lawrence is an individual health care provider with primary practice located at 3705 Medical Pkwy Ste 120 , Austin TX 78705-1022. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Mazow, Mark Lawrence can be contacted via phone (512) 458-2141.Contact Information
Primary practice address
3705 Medical Pkwy Ste 120
Austin TX 78705-1022
Phone: (512) 458-2141
Fax: (512) 458-4824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | H2575 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | H2575 | Texas |
Profile Details
| NPI number | 1639173669 |
|---|---|
| LBN Legal business name | Mazow, Mark Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Oct 1st, 2026 - about last week |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639173669 | NPPES |
| Texas | Other | 100401610B | KANSAS MEDICAID |
| Texas | Other | 20801 | KANSAS MEDICAID |
| Texas | Other | 388561 | KANSAS MEDICAID |
| Texas | Other | 4232994 | KANSAS MEDICAID |
| Texas | Other | 5692 | KANSAS MEDICAID |
| Texas | Other | 100752320A | KANSAS MEDICAID |
| Texas | Other | 29761 | KANSAS MEDICAID |
| Texas | Other | 3566323 | KANSAS MEDICAID |
| Texas | Other | 388561 | KANSAS MEDICAID |
| Texas | Other | 131458501 | KANSAS MEDICAID |
| Texas | Other | 180009584 | KANSAS MEDICAID |
| Texas | Other | 128003001 | KANSAS MEDICAID |
| Texas | Other | 0612278 | KANSAS MEDICAID |
| Texas | Other | 8658B7 | KANSAS MEDICAID |
| Texas | Other | 081148 | KANSAS MEDICAID |
| Texas | Other | 2819152007 | KANSAS MEDICAID |
| Texas | Other | 358046 | KANSAS MEDICAID |
| Texas | Other | 8658B7 | KANSAS MEDICAID |
| Texas | Other | H2575 | KANSAS MEDICAID |
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