MEDICARE: MICHEL AZER CAGS MSD PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1578257689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHEL AZER CAGS MSD PLLC

Provider Business Mailing Address
First Line	:	1811 BERING DR STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3186
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 BERING DR STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3186
Country	:	US
Telephone Number	:	909-614-3693
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHEL AZER
Credential	:
Telephone Number	:	909-614-3693

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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