Osvaldo D Bazil Mieses
MOAZAM PA


Address: 3913 Broaddus Ave, El Paso, TX 79904-5503
Phone: 9158523225

Osvaldo D Bazil Mieses (NPI# 1174523732, PAC ID# 0840288155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1174523732
PAC ID by PECOS 0840288155
Professional Enrollment ID I20040505000363
Full Name Osvaldo D Bazil Mieses
Organization Legal Name MOAZAM PA
Address 3913 Broaddus Ave
El Paso
TX 79904-5503
Phone Number 9158523225
Gender M
Credential MD
Graduation Year 1993
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 4486815008
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3913 Broaddus Ave, El Paso, TX 79904-5503 9158523225 MOAZAM PA
14470 Horizon Blvd J, Horizon City, TX 79928-7696 9152286324 MOAZAM PA

Organization Information

Organization Legal Name MOAZAM PA
Physicians 1

Office Location

Street Address 3913 BROADDUS AVE
City EL PASO
State TX
Zip 79904-5503

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Competitor

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City EL PASO
Zip Code 79904
Specialty INTERNAL MEDICINE
City + Specialty EL PASO + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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