| Doctor Name: | MARY MAZER |
| NPI Number: | 1083982383 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 709780 |
| Business Practice Address: | 212 Hunters Vlg Ste. 105 New Braunfels, TX - 781324803 |
| Business Phone Number: | 8306257612 |
| Business Fax Number: | 8306279357 |
| Mailing Address: | 212 Hunters Vlg, Ste. 105 NEW BRAUNFELS |
| State: | TX |
| Postal Code: | 781324803 |
| Phone Number: | 8306257612 |
| Fax Number: | 8306279357 |
| NPI Enumeration Date: | 12/01/2011 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 709780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |