Mauro S Ganzon, MD
Individual provider Active NPI Family Medicine Physician · Boyd, TX
NPI 1932165503 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1932165503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L4946 (TX)
- Practice address
- 133 N FM 730
#105
Boyd, TX 76023-3084 - Phone
- (940) 433-2151
- Fax
- (940) 433-2366
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Independent Physicians Group Inc
Practice addresses (Care Compare)
133 N FM
730 Unit 105
Boyd, TX 76023-3072
Phone (940) 442-5209
Hospital & facility affiliations
- Solaris Hospice Inc
- Medical City Denton
- Medical City Weatherford
- Texas Health Harris Methodist Hospital Azle
- Medical City Alliance
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525001481 | TX | Practitioner - Family Practice | 9436130523 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4946 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| Leeroy McCurley MD PA | Family Medicine | Current | Accepting new patients |
| Wise Clinical Care Associates | Family Medicine | Current |
Accepting new patients |
| Premier Independent Physicians Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Gene McDaniel DO PA | Family Medicine | Past | Accepting new patients |
| Pilot Point Family Practice Management Inc. | Family Medicine | Past | Accepting new patients |
| Ganzon Clinic PA | Family Medicine | Past |
Accepting new patients |
| North Texas Arrhythmia Associates PA | Past | Accepting new patients |
Locations
133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151
1821 S FM 51
Decatur, TX 76234
Phone (855) 277-2979
2000 S FM 51
Decatur, TX 76234
Phone (940) 626-1848
2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962
800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110
609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360
1512 Teasley Ln
Denton, TX 76205
Phone (940) 566-5010
315 Westpark Way
Euless, TX 76040
Phone (817) 267-0550
309 Westpark Way
Ste 309
Euless, TX 76040
3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686
1246 S Highway 377
Ste C
Pilot Point, TX 76258
Phone (940) 686-2254
Interoperability endpoints
- mauro.ganzon@premier.emedpractice.direct-ci.com
- mauroganzon@wise.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L4946 | TX | Yes |
Addresses
Primary practice location
133 N FM 730
#105
Boyd, TX 76023-3084
Mailing address
1512 Teasley LN
Denton, TX 76205-7282
Phone (940) 442-5209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164426204 | Medicaid | TX | |
| 8CU824 | Other | TX | BCBS |
Other providers in Boyd, TX
- Boyd Medical Clinic
- Terri L Bullard
- Jaston Shields Casey
- Haylie Crawford
- Michelle Davila Belton
- Katie Grace
- Tiffany Lauren Hall
- Alex Jesko
- Christina Kay Love
- Michele Markulec
All providers in Boyd, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.