Individual
NICHOLAS DANIEL BAZALDUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2400 N INTERSTATE HIGHWAY 35 E, WAXAHACHIE, TX 75165-5240
(469) 843-4000
Mailing address
2460 N INTERSTATE HIGHWAY 35 E STE 100, WAXAHACHIE, TX 75165-5267
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP139262
TX
363LF0000X
Family Nurse Practitioner
AP139262
TX
363LP2300X
Primary Care Nurse Practitioner
AP139262
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP139262
TX
Other
Enumeration date
10/19/2018
Last updated
10/06/2025
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