Organization
BAZE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN WELSCHMEYER (PRACTICE MANAGER)
(817) 281-0402
Entity
Organization
Contact information
Practice address
1709 PRECINCT LINE RD, HURST, TX 76054-3131
(817) 281-0402
(817) 281-6364
Mailing address
1709 PRECINCT LINE RD, HURST, TX 76054-3131
(817) 281-0402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
12/18/2013
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