Individual
DR. VITALI AZOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7777 FOREST LN BLDG C, DALLAS, TX 75230-2571
(972) 702-8888
Mailing address
7777 FOREST LN BLDG C, DALLAS, TX 75230-2571
(972) 702-8888
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
U1231
TX
Other
Enumeration date
04/16/2015
Last updated
06/27/2023
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