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Dr. Brian Confrey Mazzarella, MD

(No ratings)

Specializes in: Urologic Oncology
University of Texas
Professional interests include: low testosterone (male hypogonadism), benign prostatic hyperplasia (enlarged prostate), kidney cancer, and more.
101 Medical Parkway Suite 200
Lakeway, TX 78738

Dr. Brian Confrey Mazzarella, MD is an urologic oncologist in Lakeway, TX specializing in urologic oncology. He graduated from University of Texas. Dr. Brian Confrey Mazzarella, MD is affiliated with Ascension, Urology Austin, Dell Seton Medical Center, The University of Texas (UT) System, Ascension Seton Hays, Ascension Seton Medical Center Austin, UROLOGY AUSTIN PLLC, Ascension Seton Williamson and Ascension Seton Northwest.

View Doctor's Full Profile (512) 263-0300

Office Locations

101 Medical Parkway Suite 200
Lakeway, TX 78738
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Some issues Dr. Brian Confrey Mazzarella, MD can help you with:

Benign Prostatic Hyperplasia (Enlarged Prostate)

Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.

Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:

  • Transurethral incision of the prostate or TUIP, where the surgeon uses the scope to make small cuts in the area of the prostate that meets the bladder. These cuts will open up the pathway for urine and allow it to flow with more ease.
  • Transurethral needle ablation or TUNA, where needles are inserted through the scope and into the prostate. The needles use radiofrequency waves to destroy excess prostate tissue.
  • Laser prostate ablation, where lasers pass through the scope to melt away the part of the prostate causing urine blockage.
  • Transurethral resection of the prostate or TURP, where the inside of the prostate is trimmed and removed one tiny piece at a time using the scope.

If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.

Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

  • Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
  • Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
  • Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Robotic Surgery

Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.

There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.

In The News 

“The first procedure was successfully performed by Brian Mazzarella, M.D., Principle Investigator at Urology Austin, Texas.”—"ProVerum Announces Completion of Enrollment for the ProVIDE Clinical Study for BPH and First-use of its New Flexible, Steerable Delivery System", WGN 9, March 2024

Noteworthy Medicare Patient Procedures Performed by Dr. Brian Confrey Mazzarella, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Affordability:

lab tests
urine tests

In 2023, Dr. Brian Confrey Mazzarella, MD had a list price for lab tests, and urine tests that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Texas. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

marker placement for prostate radiation therapy

By Affordability:

chronic care
urinalysis

In 2013, among providers in related specialties within Texas, Dr. Brian Confrey Mazzarella, MD performed more marker placement for prostate radiation therapy procedures for Medicare patients than 75% of them and he also had a list price for chronic care, and urinalysis that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2015 were lab tests, blood draw and urologic procedures.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

blood draw 47
doctor visit 113
lab tests 106
urologic procedures 24

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 174
Female 56
Ethnicity
Non-Hispanic White 166
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 108
From 75 to 84 66
85 and over 28
Less than 65 28

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2015

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2015 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 57
Stroke 0
Ischemic Heart Disease 45
Depression 20
Chronic Kidney Disease 41
Asthma 17
Osteoperosis 0
Atrial Fibrilation 10
Heart Failure 28
Chronic Obstructive Pulmonary Disease 23
Diabetes 34
Dementia 17
Cancer 23

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2016 were lab tests, urologic procedures, blood draw and minimally invasive procedures.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

abdominal imaging 31
blood draw 159
cancer surgery 11
doctor visit 472
hormone therapy 19
hospital care 37
inpatient care 37
lab tests 599
minimally invasive procedures 116
neurostimulation 13
stent placement (stenting) 17
ultrasound (sonogram) 31
urologic procedures 160

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 267
Female 108
Ethnicity
Non-Hispanic White 289
Black 72
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 157
From 75 to 84 122
85 and over 55
Less than 65 41

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2016

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2016 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 63
Stroke 8
Ischemic Heart Disease 50
Depression 21
Chronic Kidney Disease 46
Asthma 24
Osteoperosis 10
Atrial Fibrilation 12
Heart Failure 25
Chronic Obstructive Pulmonary Disease 24
Diabetes 38
Dementia 18
Cancer 30

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2017 were lab tests, blood draw, urologic procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

abdominal imaging 40
blood draw 320
diagnostic procedures 18
doctor visit 630
foreign body removal 14
hormone therapy 29
hospital care 22
inpatient care 22
lab tests 817
minimally invasive procedures 189
minor procedures 18
ultrasound (sonogram) 40
urologic procedures 300

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 353
Female 67
Ethnicity
Non-Hispanic White 326
Black 79
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 206
From 75 to 84 136
85 and over 47
Less than 65 31

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2017

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2017 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 51
Stroke 5
Ischemic Heart Disease 42
Depression 15
Chronic Kidney Disease 39
Asthma 4
Osteoperosis 5
Atrial Fibrilation 13
Heart Failure 20
Chronic Obstructive Pulmonary Disease 15
Diabetes 30
Dementia 13
Cancer 31

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2018 were lab tests, urologic procedures, minimally invasive procedures and potassium test.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

doctor visit 523
lab tests 759
minimally invasive procedures 108
potassium test 40
urologic procedures 274

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 150
Female 45
Ethnicity
Non-Hispanic White 157
Black 17
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 107
From 75 to 84 50
85 and over 20
Less than 65 18

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2018

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2018 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 61
High Cholesterol 59
Stroke 0
Ischemic Heart Disease 39
Depression 23
Chronic Kidney Disease 34
Asthma 0
Osteoperosis 7
Atrial Fibrilation 11
Heart Failure 16
Chronic Obstructive Pulmonary Disease 7
Diabetes 25
Dementia 14
Cancer 22

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2019 were lab tests, urologic procedures, minimally invasive procedures and potassium test.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

anorectal procedures 14
blood draw 14
diagnostic procedures 27
doctor visit 631
lab tests 901
minimally invasive procedures 106
minor procedures 13
potassium test 32
urologic procedures 295

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 193
Female 51
Ethnicity
Non-Hispanic White 206
Black 12
Hispanic 14
Asian 0
Other 0
Native American 0
Age
From 65 to 74 123
From 75 to 84 69
85 and over 34
Less than 65 18

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2019

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2019 were hypertension, high cholesterol, ischemic heart disease and cancer.

Hypertension 60
High Cholesterol 57
Stroke 0
Ischemic Heart Disease 38
Depression 23
Chronic Kidney Disease 27
Asthma 5
Osteoperosis 6
Atrial Fibrilation 10
Heart Failure 14
Chronic Obstructive Pulmonary Disease 5
Diabetes 24
Dementia 15
Cancer 27

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2020 were lab tests, minimally invasive procedures, urologic procedures and blood draw.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

blood draw 17
doctor visit 98
lab tests 50
minimally invasive procedures 21
urologic procedures 21

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Age
From 65 to 74 37
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2020

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2020 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension 58
High Cholesterol 66
Stroke 0
Ischemic Heart Disease 37
Depression 0
Chronic Kidney Disease 34
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 22
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2021 were lab tests, chronic care, minimally invasive procedures and urologic procedures.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

blood draw 13
chronic care 61
doctor visit 190
lab tests 165
marker placement for prostate radiation therapy 16
minimally invasive procedures 42
urologic procedures 42

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 118
Female 17
Ethnicity
Non-Hispanic White 119
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 80
From 75 to 84 40
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2021

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2021 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 64
High Cholesterol 63
Stroke 0
Ischemic Heart Disease 39
Depression 12
Chronic Kidney Disease 28
Asthma 0
Osteoperosis 0
Atrial Fibrilation 15
Heart Failure 12
Chronic Obstructive Pulmonary Disease 0
Diabetes 21
Dementia 10
Cancer 26

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2022 were lab tests, chronic care and marker placement for prostate radiation therapy.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

chronic care 48
doctor visit 118
lab tests 78
marker placement for prostate radiation therapy 33

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Ethnicity
Non-Hispanic White 110
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 70
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2022

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2022 were high cholesterol, hypertension, cancer and ischemic heart disease.

Hypertension 70
High Cholesterol 75
Stroke 0
Ischemic Heart Disease 31
Depression 11
Chronic Kidney Disease 13
Asthma 0
Osteoperosis 0
Atrial Fibrilation 16
Heart Failure 12
Chronic Obstructive Pulmonary Disease 0
Diabetes 24
Dementia 0
Cancer 42

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX during 2023 were marker placement for prostate radiation therapy, chronic care and lab tests.

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

chronic care 29
doctor visit 34
lab tests 20
marker placement for prostate radiation therapy 33

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Age
From 65 to 74 37
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD in 2023

The most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated during 2023 were high cholesterol, hypertension, cancer and ischemic heart disease.

Hypertension 75
High Cholesterol 75
Stroke 0
Ischemic Heart Disease 39
Depression 0
Chronic Kidney Disease 0
Asthma 0
Osteoperosis 0
Atrial Fibrilation 16
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 19
Dementia 0
Cancer 57

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2015 - 2023

Volume of procedures performed by Dr. Brian Confrey Mazzarella, MD for Medicare patients.

The highest averages for the top procedures that Dr. Brian Confrey Mazzarella, MD treated as an urologic oncologist in Lakeway, TX were lab tests, urologic procedures, minimally invasive procedures and blood draw.

abdominal imaging 35
anorectal procedures 14
blood draw 95
cancer surgery 11
chronic care 46
diagnostic procedures 22
doctor visit 312
foreign body removal 14
hormone therapy 24
hospital care 29
inpatient care 29
lab tests 388
minimally invasive procedures 97
minor procedures 15
neurostimulation 13
potassium test 36
stent placement (stenting) 17
ultrasound (sonogram) 35
urologic procedures 159

Average Medicare Patient Data From 2015 - 2023

Information about Medicare patients treated by Dr. Brian Confrey Mazzarella, MD.

Gender
Male 139
Female 38
Ethnicity
Black / African American 20
Asian / Pacific Islander 0
Non-Hispanic White 152
Native American / Alaskan Native 0
Hispanic 1
Other 0
Age
75 to 84 53
85 and over 20
Less than 65 15
65 to 74 102

Average of Total of Conditions of Medicare patients treated by Dr. Brian Confrey Mazzarella, MD From 2015 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Brian Confrey Mazzarella, MD treated were hypertension, high cholesterol, ischemic heart disease and cancer.

Hypertension 68
High Cholesterol 62
Stroke 1
Ischemic Heart Disease 40
Depression 13
Chronic Kidney Disease 29
Asthma 5
Osteoporosis 3
Heart Failure 14
Chronic Obstructive Pulmonary Disease 8
Diabetes 26
Atrial Fibrillation 11
Cancer 28
Dementia 9

Education & Training

Dr. Brian Confrey Mazzarella, MD graduated from University of Texas. He completed residency at University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals. He is certified by the The American Board of Urology - Urology and has a state license in Louisiana.

Medical School: University of Texas

Residency: University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals

Board Certification: The American Board of Urology - Urology

Licensed In: Louisiana

Affiliations & Hospitals

Dr. Brian Confrey Mazzarella, MD is associated with these hospitals and organizations:

Ascension
Urology Austin
Dell Seton Medical Center
The University of Texas (UT) System
Ascension Seton Hays
Ascension Seton Medical Center Austin
UROLOGY AUSTIN PLLC
Ascension Seton Williamson
Ascension Seton Northwest

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Brian Confrey Mazzarella, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
NeoTract Inc. $947,053 Urolift
$944,769 		Urolift - UL400
$2,284
Teleflex LLC $167,559 Urolift
$99,810 		Urolift System
$57,399 		UROLIFT 2 SYSTEM
$840
$9,510
Calyxo, Inc. $43,125 CVAC
$41,850 		CVAC Aspiration System
$1,275
Teleflex Medical Australia Pty Ltd $26,934 Urolift System
$26,934
Palette Life Sciences, Inc. $15,862
$15,862
Other $3,912 AquaBeam Robotic System
$699 		INTERSTIM
$457 		CLARIX
$318 		XTANDI
$245 		ZYTIGA
$207 		Other
$1,987
Types of Payments
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $533,266
Consulting Fee $527,055
Travel and Lodging $75,290
Grant $40,000
Food and Beverage $24,732
Other $4,102

Research Payments

Dr. Brian Confrey Mazzarella, MD has received 55 research payments totaling $397,380.

Biography

Dr. Brian Mazzarella is a specialist in urologic oncology. His areas of expertise include male infertility, erectile dysfunction (impotence), and benign prostatic hyperplasia (enlarged prostate). Dr. Mazzarella is professionally affiliated with Urology Austin and Dell Seton Medical Center. He studied medicine at the University of Texas Southwestern Medical School and the University of Texas Health Science Center at San Antonio, School of Medicine. He trained at a hospital affiliated with the University of Texas Southwestern Medical Center at Dallas for residency. He speaks Spanish.

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