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Individual

DR. CARLOS BAZAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-6470
Mailing address
310 TAMWORTH DR, SAN ANTONIO, TX 78213-1941
(210) 265-8856

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
F2547
TX
2085R0202X
Diagnostic Radiology Physician
Primary
F2547
TX

Other

Enumeration date
07/19/2006
Last updated
10/22/2025
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