Organization
DR MARVIN L BAZA OPTOMETRIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN L. BAZA JR. O.D. (OWNER)
(281) 998-2020
Entity
Organization
Contact information
Practice address
4415 CRENSHAW RD, PASADENA, TX 77504-3628
(281) 998-2020
(281) 998-2246
Mailing address
PO BOX 8020, PASADENA, TX 77508-8020
(281) 998-2020
(281) 998-2246
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/02/2012
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