MEDICARE: BRADFORD B PAZANDAK MD

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
1	174400000X	Specialist	H1821	TX

General Provider Information

NPI Number	:	1326045923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADFORD B PAZANDAK MD

Provider Business Mailing Address
First Line	:	4505 HARRYS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-5405
Country	:	US
Telephone Number	:	214-361-1443
Fax Number	:	214-351-2991

Provider Business Practice Location Address
First Line	:	4505 HARRYS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-5405
Country	:	US
Telephone Number	:	214-361-1443
Fax Number	:	214-351-2993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	02/19/2016

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Directions to “ BRADFORD B PAZANDAK MD” Practice Location

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