| Dr Fernando Bazan, MD | |
|
600 N Union Ave, New Braunfels, TX 78130-4194 | |
| (830) 643-6162 | |
| Not Available |
| Full Name | Dr Fernando Bazan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 600 N Union Ave, New Braunfels, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679582332 | NPI | - | NPPES |
| 110436604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | F3742 (Texas) | Primary |
| Entity Name | Gmg Health Systems Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023030160 PECOS PAC ID: 8123932647 Enrollment ID: O20040121001049 |
| Entity Name | River City Imaging Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679871081 PECOS PAC ID: 0244415081 Enrollment ID: O20110421000285 |
| Entity Name | River City Imaging Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720661176 PECOS PAC ID: 0749681385 Enrollment ID: O20210702000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fernando Bazan, MD 777 Loop 337, New Braunfels, TX 78130-3632 Ph: (830) 643-6162 | Dr Fernando Bazan, MD 600 N Union Ave, New Braunfels, TX 78130-4194 Ph: (830) 643-6162 |
John Mark Milbourn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-643-6162 | |
Dr. Richard E Lowe I, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-606-9111 Fax: 830-643-6165 | |
Dr. James G Flournoy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2253 Waterford Grace, New Braunfels, TX 78130 Phone: 830-609-1314 | |
John Randolph Osborne, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-643-6162 |