=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477530251
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCIS ANTHONY BUZAD MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2005
-----------------------------------------------------
Last Update Date | 04/11/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12221 N MOPAC EXPY
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78758-2401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-901-4019
-----------------------------------------------------
Fax | 512-901-3919
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12221 N MOPAC EXPY
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78758-2401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-901-4019
-----------------------------------------------------
Fax | 512-901-3919
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | DR.0070541
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | K7427
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------