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Individual

DR. MATT Y. BAYAZITOGLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
411 N WASHINGTON AVE, SUITE 4000, DALLAS, TX 75246-1713
(214) 820-8557
(214) 480-8356
Mailing address
411 N WASHINGTON AVE, SUITE 4000, DALLAS, TX 75246-1713
(214) 820-8557
(214) 480-8356

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
27753
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M3901
TX
208100000X
Physical Medicine & Rehabilitation Physician
MD-13887
HI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
M3901
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051537986
AL
05
201893901
TX
05
201893902
TX
01
515-37986
BC BS OF AL
AL
01
8BU824
BCBSTX
TX
Enumeration date
07/19/2006
Last updated
06/08/2010
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