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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD LAWRENCE MAZUCHOWSKI II, M.D.,PH.D.

Active Sole Proprietor

DR. EDWARD LAWRENCE MAZUCHOWSKI II, M.D.,PH.D. is a Forensic Pathology healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1417009010 is currently active in the NPPES registry. Verify at CMS.

Forensic Pathology · FORT SAM HOUSTON, TX

Registration Details

NPI Number
1417009010
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2007 (19.385445056 yrs)
Last Updated
Oct 7, 2019
Licenses
01057843A (IN)
01057843A (IN)
Sole Proprietor
Yes

Practice Information

Address
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX, 78234
Browse TX providers · Browse ZIP 78234
Phone
2105398774
Primary Specialty
Forensic Pathology
207ZF0201X
Additional Specialty
Forensic Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.