Individual provider · Type 1 NPI
Venessa Marie Mazur, MSPAS, PA-C
Medical Physician Assistant · Fort Worth, TX
NPI number
1083928014
Active
Practice location
1250 8th Ave Ste 650
Fort Worth, TX 76104-4160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA06838 (TX) |
| Medical Physician Assistant Primary | 363AM0700X | PA.0003966 (CO) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1083928014
Venessa Marie Mazur, MSPAS, PA-C's National Provider Identifier is 1083928014, issued on Aug 2, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 2, 2026.