Glazar Medical PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1228 Issued in TX

Legal business name

GLAZAR MEDICAL PA

Practice address

1387 George Dieter Dr BLDG D-103
El Paso, TX 79936-7410

Phone

(915) 593-3668

Fax

(915) 500-5633

NPI assigned

Jul 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gabriel Lazar, DPMNPI 1629117080

Title

Owner

Phone

(915) 593-3668

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Advanced Foot Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Lazar, DPM

  • Podiatrist
  • El Paso, TX
  • NPI 1629117080
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1376542563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG D-103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-593-3668",
            "fax_number": "915-500-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG D-103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-593-3668",
            "fax_number": "915-500-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAZAR MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-593-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175592801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0091MD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175592802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175592803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.