Provider Demographics
NPI:1194782573
Name:MAZEL, L. ANNE (NP)
Entity type:Individual
Prefix:MRS
First Name:L.
Middle Name:ANNE
Last Name:MAZEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 SANDHILL DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5320
Mailing Address - Country:US
Mailing Address - Phone:281-238-7870
Mailing Address - Fax:281-633-4985
Practice Address - Street 1:10141 US 59 HWY STE E1
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-7224
Practice Address - Country:US
Practice Address - Phone:979-358-9410
Practice Address - Fax:979-358-9411
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX524792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042487101Medicaid
TX042487108Medicaid
TX500011692OtherRAILROAD GBA - RAILROAD MEDICARE
TX875N31OtherBC/BS #
TXPO1160255OtherRAILROAD MEDICARE #
TX042487105Medicaid
TXTXB150786Medicare PIN
TX875N31OtherBC/BS #