Individual
CHRISTY BAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1709 PRECINCT LINE RD, HURST, TX 76054-3131
(817) 281-0402
Mailing address
1709 PRECINCT LINE RD, HURST, TX 76054-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N6164
TX
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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