IndividualActive
Marc Mazade, MD
NPI 1902999097 · Pediatric Infectious Diseases Physician · Fort Worth, TX
Provider details
- NPI number
- 1902999097
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- K9845 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-6800
Fax: (817) 885-2106
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 733784
Dallas, TX 75373-3784
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.