Brian C. Mazzarella, MD
Urology · Lakeway, TX
UnclaimedMDNPI 1417265851
- Primary taxonomy
- 208800000X
- Enumerated
- 2010-09-20
- Practice location
- Lakeway, TX
- Last NPPES update
- 2021-10-15
State licenses
- LA · Physician · NPPES self-reportedListed on NPI record
- TX · Physician · NPPES self-reportedListed on NPI record
- TX · Resident physician · Physician-in-Training PermitInactivethrough 2011
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.