person
Dr. Mark Lawrence Mazow, MD
Ophthalmology Physician in Dallas, Texas
NPI 1639173669

Mark Lawrence Mazow is a Ophthalmology Physician based in Dallas, TX. Mark Lawrence Mazow practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Mark Lawrence Mazow is 1639173669 and holds a License No. H2575 (Texas).

The current practice location address for Mark Lawrence Mazow is 7777 Forest Lane, Dallas, TX and can be reached out via phone at 972-566-2020 and via fax at 972-566-5454. You can also correspond with Mark Lawrence Mazow through the mailing address at 7777 FOREST LANE, DALLAS, TX - 75230-2571 (mailing address contact number: 972-566-2020).

Location: 7777 Forest Lane, Dallas, TX, 75230-2571
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Provider Profile Details
NPI Number
1639173669
Provider Name
Mark Lawrence Mazow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7777 Forest Lane, Dallas, TX, 75230-2571
Phone Number
972-566-2020
Fax Number
972-566-5454
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100401610B 01 TX KANSAS MEDICAID
131458501 01 TX CID
388561 01 TX WELLCARE PPO
4232994 01 TX AETNA PPO, POS, & EPO
081148 01 TX PCA
20801 01 TX TOTAL VISION HEALTHCARE
29761 01 TX AMERIGROUP/AMERICAID
2819152007 01 TX TOTAL VISION HEALTHCARE
5692 01 TX PARKLAND KIDS FIRST
3566323 01 TX HEALTH MARKET
8658B7 01 TX MEDICARE DEFAULT
H2575 01 TX UNICARE
0612278 01 TX AETNA HMO
8658B7 01 TX BCBS
180009584 01 TX RAILROAD MEDICARE
100752320A 01 TX OKLAHOMA MEDICAID
128003001 01 TX AR MEDICAID
358046 01 TX ONE HEALTH
388561 01 TX WELLCARE HMO
institution
Provider Business Practice Location Address Details
Address
7777 Forest Lane
City
State
Zip
75230-2571
Phone Number
972-566-2020
Fax Number
972-566-5454
person
Provider Business Mailing Address Details
Address
7777 Forest Lane
City
State
Zip
75230-2571
Phone Number
972-566-2020
Fax Number
972-566-5454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
License No.
H2575 (Texas)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
License No.
H2575 (Texas)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

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