IndividualActive
Edward Mazuchowski, M.D.,PH.D.
NPI 1417009010 · Forensic Pathology Physician · Fort Sam Houston, TX
Provider details
- NPI number
- 1417009010
- Entity type
- Individual
- Primary specialty
- Forensic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.,PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01057843A (IN)
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234
Phone: (210) 539-8774
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2019-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.