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DR. DEMENCIO ISAAC BAZAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1701 E PFLUGERVILLE PKWY, PFLUGERVILLE, TX 78660-8990
(512) 259-6000
(512) 260-6005
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
T21-2012
TX

Other

Enumeration date
06/13/2012
Last updated
12/07/2021
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