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Contact Information

DEMENCIO I BAZAN, DPM
1701 E PFLUGERVILLE PKWY
PFLUGERVILLE, TX78660-8990
 Phone: 512-259-6000
 Fax: 512-260-6005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEMENCIO I BAZAN · (Male)

NPI Number 1326300492
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/13/2012
Last updated 12/07/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # T21-2012
Hospital affiliation(s)
  • SCOTT & WHITE HOSPITAL-ROUND ROCK - (Acute Care)
    300 UNIVERSITY BLVD
    ROUND ROCK, TX 78664
  • SCOTT & WHITE MEMORIAL HOSPITAL - (Acute Care)
    2401 31ST ST
    TEMPLE, TX 76508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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