Individual
DR. FERNANDO BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(830) 643-6162
Mailing address
777 LOOP 337, NEW BRAUNFELS, TX 78130-3632
(830) 643-6162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F3742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110436604
—
TX
Enumeration date
08/05/2006
Last updated
07/30/2013
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