John Bazan's National Provider Identifier (NPI) Details
John Bazan, LCSW
NPI: 1598107435
Enumeration Date: 2013-07-19
Last updated: 2017-03-14
Sole Proprietor: NO
Status: active
Postal Address: 4614 N IH 35, AUSTIN, TX
Phone: 512-978-9100
Primary Practice Address: 4614 N IH 35, AUSTIN, TX
Practice's phone: 512-978-9100