Individual
DR. ANDREW BRADFORD PAZANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N MACARTHUR BLVD, IRVING, TX 75062-4451
(972) 258-6400
(972) 570-1103
Mailing address
3100 N MACARTHUR BLVD, IRVING, TX 75062-4451
(972) 258-6400
(972) 570-1103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R6455
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
R6455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770753519
GROUP NPI (GARY R TYLOCK MD PROFESSIONAL ASSOCIATION)
TX
Enumeration date
04/03/2014
Last updated
05/03/2024
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