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Search › Texas › 133V00000X

Jamie Antwine

NPI 1588262562 · on the registry since 2020

Practice

Address
5380 Old Bullard Rd Ste 600-244
Tyler, TX 75703
Phone
(903) 202-3132
Fax
(903) 705-1622
Organisation at this address
Mazzare Medical, Pllc
East Texas Physician Assistant Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas