Individual
DR. DAVID BYRON KAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5441 BABCOCK RD, SUITE #300, SAN ANTONIO, TX 78240-3993
(210) 393-6920
Mailing address
5441 BABCOCK ROAD, SUITE #300, SAN ANTONIO, TX 78023-3993
(210) 393-6920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY3970
FL
103TC0700X
Clinical Psychologist
Primary
PY3970
FL
103TF0200X
Forensic Psychologist
PY3970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204992900
—
FL
01
—
65003290633713A001
CHAMPUS
FL
01
—
73193
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
08/17/2006
Last updated
08/17/2016
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