| Omar Bazzaz MD PLLC | |
|
7950 Wallace Blvd Amarillo TX 79124-2436 | |
| (978) 421-6226 | |
| (806) 352-8774 |
| Full Name | Omar Bazzaz MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7950 Wallace Blvd, Amarillo, Texas |
| Authorized Official Name and Position | Omar Hassan Bazzaz (PRESIDENT) |
| Authorized Official Contact | 9784216226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Bazzaz MD PLLC Po Box 8337 Amarillo TX 79114-8337 Ph: (978) 421-6226 | Omar Bazzaz MD PLLC 7950 Wallace Blvd Amarillo TX 79124-2436 Ph: (978) 421-6226 |
| NPI Number | 1073481206 |
|---|---|
| Provider Enumeration Date | 10/28/2025 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Medicare PECOS PAC ID | 2365933314 |
|---|---|
| Medicare Enrollment ID | O20251118001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073481206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Mary T Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194277665 PECOS PAC ID: 5597046466 Enrollment ID: I20170109001086 |
| Provider Name | Omar H Bazzaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255759585 PECOS PAC ID: 1456659614 Enrollment ID: I20170728000345 |
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