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Individual

DR. CESAR H FAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
109 W MARTIN ST, DEL RIO, TX 78840-5501
(830) 778-5439
(830) 778-5400
Mailing address
109 W MARTIN ST, DEL RIO, TX 78840-5501
(830) 778-5439
(830) 778-5400

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9038
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166733901
TX
05
166733902
TX
01
8P6044
BCBS
TX
Enumeration date
11/08/2006
Last updated
07/18/2008
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