Bazan, Fernando
Bazan, Fernando is an sole proprietor health care provider with primary practice located at 600 N Union Ave , New Braunfels TX 78130-4194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bazan, Fernando can be contacted via phone (830) 643-6162.Contact Information
Primary practice address
600 N Union Ave
New Braunfels TX 78130-4194
Phone: (830) 643-6162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | F3742 | Texas |
Profile Details
| NPI number | 1679582332 |
|---|---|
| LBN Legal business name | Bazan, Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679582332 | NPPES |
| Texas | MEDICAID | 110436604 |
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