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General NPI Number Information
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NPI Number | 1073481206
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Entity Type | Organization
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Legal Business Name | OMAR BAZZAZ MD PLLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 7950 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79124-2436
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Country | US
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Telephone | 978-421-6226
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Fax | 806-352-8774
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Provider Business Mailing Address
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Address Line | PO BOX 8337
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City | AMARILLO
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State | TX
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Zip | 79114-8337
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Country | US
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Telephone | 978-421-6226
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Fax | 806-352-8774
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR HASSAN BAZZAZ
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Credential | MD
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Telephone | 978-421-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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