Individual
MS. ERIKA BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT043113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT043113
TEXAS DEPT OF HEALTH SERV
TX
Enumeration date
02/26/2008
Last updated
02/26/2008
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