Organization
BAZAN THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOE BAZAN (OWNER)
(956) 600-8462
Entity
Organization
Contact information
Practice address
3012 E MAIN AVE STE A&B, ALTON, TX 78573-0907
(956) 600-8461
(956) 306-3501
Mailing address
3012 E MAIN AVE STE A&B, ALTON, TX 78573-0907
(956) 600-8461
(956) 306-3501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
03/15/2024
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