MEDICARE: DR. ERIK C MAZUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	N8816	TX

General Provider Information

NPI Number	:	1649562877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIK C MAZUR MD

Provider Business Mailing Address
First Line	:	7900 FANNIN ST STE 4400
Second Line	:	HOUSTON FERTILITY SPECIALISTS, PLLC
City	:	HOUSTON
State	:	TX
Zip	:	77054-2949
Country	:	US
Telephone Number	:	713-512-7900
Fax Number	:	713-512-7829

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST STE 4400
Second Line	:	HOUSTON FERTILITY SPECIALISTS, PLLC
City	:	HOUSTON
State	:	TX
Zip	:	77054-2949
Country	:	US
Telephone Number	:	713-512-7900
Fax Number	:	713-512-7829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2011
Last Update Date	:	09/03/2015

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