Organization
BAUZA CARDIOVASCULAR SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN J VAZQUEZ-BAUZA MD (PRESIDENT)
(402) 212-6235
Entity
Organization
Contact information
Practice address
3213 S 24TH ST, SUITE 101B, OMAHA, NE 68108-1832
(402) 916-4130
(402) 916-4140
Mailing address
3213 S 24TH ST, SUITE 101B, OMAHA, NE 68108-1832
(402) 916-4130
(402) 916-4140
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
NE19950
NE
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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