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NPI Code Detail

MEDICARE: ISTRA BAUZA

MEDICARE:   ISTRA  BAUZA
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
1101YP2500XProfessional Counselor95906TX

General Provider Information

NPI Number : 1952258436
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISTRA BAUZA
Provider Business Mailing Address
First Line : 1728 BISSONNET ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1710
Country : US
Telephone Number : 713-461-7599
Fax Number :
Provider Business Practice Location Address
First Line : 1728 BISSONNET ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1710
Country : US
Telephone Number : 281-673-6019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ ISTRA BAUZA ” Practice Location

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