Dr. Monica Elizabeth Bazan
Periodontist
1075 Kinwest Pkwy 100
Irving
, Texas 75063-3407
Dr. Monica Elizabeth Bazan
Periodontist
1075 Kinwest Pkwy 100
Irving
, Texas 75063-3407
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Monica Elizabeth Bazan
- 4739 Mill Creek Rd
- Dallas, TX
- Zip : 75244-6917
- Phone :
Second Address
- Dr. Monica Elizabeth Bazan
- 1075 Kinwest Pkwy 100
- Irving, TX
- Zip : 75063-3407
- Phone : (972) 506-9688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 19677 | TX |
National Provider Identifier
| NPI | 1033244900 |
|---|---|
| Provider Name | Dr. Monica Elizabeth Bazan |
| First Address | Dallas, TX 75244-6917 |
| Second Address | Irving, TX 75063-3407 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.