MEDICARE: DR. MONZER HASSAN YAZJI 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	207R00000X	Internal Medicine Physician	J9849	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MDJ9849	OTHER	TX	WORKERS COMP
2	87T294	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	110167143	OTHER	TX	RRMC

General Provider Information

NPI Number	:	1619998838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONZER HASSAN YAZJI MD

Provider Business Mailing Address
First Line	:	502 S CLOSNER BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4660
Country	:	US
Telephone Number	:	956-292-0100
Fax Number	:	956-383-1906

Provider Business Practice Location Address
First Line	:	502 S CLOSNER BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4660
Country	:	US
Telephone Number	:	956-292-0100
Fax Number	:	956-383-1906

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	06/20/2023

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