Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 27753 | AL |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | M3901 | TX |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD-13887 | HI |
N | 2081P2900X | Pain Medicine | M3901 | TX |
NPI | 1013936715 |
---|---|
Provider Name | Dr. Matt Y. Bayazitoglu |
First Address | Dallas, TX 75246-1713 |
Second Address | Dallas, TX 75246-1713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051537986 | (05) | AL |
201893901 | (05) | TX |
201893902 | (05) | TX |
515-37986 | BC BS OF AL (01) | AL |
8BU824 | BCBSTX (01) | TX |
I60755 | (02) | AL |