Individual
ANTONIO AURELIO FAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4602 N BARTLETT AVE, LAREDO, TX 78041-3803
(956) 523-7850
Mailing address
1700 E SAUNDERS ST, LAREDO, TX 78041-5474
(956) 796-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME164963
FL
Other
Enumeration date
04/05/2019
Last updated
10/15/2024
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