Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mazzare Medical, PLLC

Organization Internal Medicine Physician · NPI 1124390638

Mazzare Medical, PLLC is an Internal Medicine Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5380 Old Bullard Rd Ste 600-357
Tyler, TX 75703-3607
Phone: (903) 245-3242
Fax: (877) 903-6204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence K3331 (TX)

Record details

NPI number1124390638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Mazzare — M.D./Owner · (903) 245-3242
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJanuary 27, 2017
Mailing address5380 Old Bullard Rd Ste 600-357, Tyler, TX 75703-3607

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