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NPI Code Detail

MEDICARE: DR. FRANK ANDRES BAZAN O.D.

MEDICARE:  DR. FRANK ANDRES BAZAN  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTX 03913TX

General Provider Information

NPI Number : 1093145211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK ANDRES BAZAN O.D.
Provider Business Mailing Address
First Line : 6101 LOUISVILLE DR
Second Line :
City : FRISCO
State : TX
Zip : 75035-8330
Country : US
Telephone Number : 214-236-4685
Fax Number :
Provider Business Practice Location Address
First Line : 1200 E SPRING CREEK PKWY
Second Line :
City : PLANO
State : TX
Zip : 75074-3023
Country : US
Telephone Number : 972-422-1047
Fax Number : 972-423-9616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 11/25/2013

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Directions to “ DR. FRANK ANDRES BAZAN O.D.” Practice Location

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