JHONNY MARTIN BAZAN MD PA NPI 1801122445

NPI Information

NPI: 1801122445
Provider Name: JHONNY MARTIN BAZAN MD PA

Doing Business As: SAN MARTIN DE PORRES CLINIC

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1337 E PALMA VISTA DR
STE.A
PALMVIEW, TX
ZIP 78572
Phone: (956) 519-9500
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JHONNY MARTIN BAZAN MD PA is a rehabilitation clinic center in Palmview, TX. JHONNY MARTIN BAZAN MD PA NPI is 1801122445. The provider is registered as an organization entity type.
The provider Is Doing Business As San Martin De Porres Clinic.

The provider's business location address is:

1337 E PALMA VISTA DR
STE.A
PALMVIEW, TX
ZIP 78572-055
Phone: (956) 519-9500

The provider's authorized official is Jhonny Martin Bazan .
The authorized official title is Administrator and has the following contact phone number (956) 519-9500.

The CLIA number assigned to this NPI record is 45D1039555 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/1/2009 and was last updated on 11/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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