Mazuchowski, Edward Lawrence

Mazuchowski, Edward Lawrence is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Forensic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is his primary health care specialty. Mazuchowski, Edward Lawrence can be contacted via phone (210) 539-8774.

Contact Information

Primary practice address
3551 Roger Brooke Dr Fort Sam Houston TX 78234
Phone: (210) 539-8774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01057843A Indiana
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 01057843A Indiana

Profile Details

NPI number 1417009010
LBN Legal business name Mazuchowski, Edward Lawrence
Credentials M.D.,PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Oct 7th, 2019 - about 7 years ago

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.

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