Individual
DR. GARY P. FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3315 UNICORN LAKE BLVD STE 171, DENTON, TX 76210-0127
(940) 320-2188
Mailing address
3315 UNICORN LAKE BLVD STE 171, DENTON, TX 76210-0127
(940) 320-2188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K0742
TX
207RI0011X
Interventional Cardiology Physician
K0742
TX
Other
Enumeration date
07/26/2005
Last updated
05/26/2022
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