Individual
MARVIN L BAZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4415 CRENSHAW RD, PASADENA, TX 77504-3628
(281) 998-2020
(281) 998-2246
Mailing address
PO BOX 8020, PASADENA, TX 77508-8020
(281) 998-2020
(281) 998-2246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02280TG
TX
Other
Enumeration date
08/02/2006
Last updated
08/21/2012
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