OrganizationActive
Mazzare Medical, PLLC
NPI 1124390638 · Internal Medicine Physician · Tyler, TX
Mazzare Medical, PLLC is a Internal Medicine Physician organization in Tyler, TX (NPI 1124390638).
Provider details
- NPI number
- 1124390638
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Mazzare, M.d./Owner(903) 245-3242
- License
- K3331 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5380 Old Bullard Rd Ste 600-357
Tyler, TX 75703-3607
Phone: (903) 245-3242
Fax: (877) 903-6204
Street-level locationGet directions
Mailing address
5380 Old Bullard Rd Ste 600-357
Tyler, TX 75703-3607
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2017-01-27
Frequently asked questions
- What is Mazzare Medical, PLLC's NPI number?
- Mazzare Medical, PLLC's National Provider Identifier (NPI) is 1124390638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mazzare Medical, PLLC?
- Mazzare Medical, PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mazzare Medical, PLLC located?
- Mazzare Medical, PLLC's practice location on file with NPPES is 5380 Old Bullard Rd Ste 600-357, Tyler, TX 75703-3607.
- What is Mazzare Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mazzare Medical, PLLC is (903) 245-3242.
- Who is the authorized official for Mazzare Medical, PLLC?
- The authorized official listed on Mazzare Medical, PLLC's NPPES record is Mark Mazzare, M.d./Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mazzare Medical, PLLC's NPI active?
- Yes — Mazzare Medical, PLLC's NPI (1124390638) is active in the NPPES registry as of the last update on 2017-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.