Doctor Name: | MICHAEL BEZEK |
NPI Number: | 1285022889 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | 16478 |
License Number: | 16478 |
Business Practice Address: | 2805 N 43rd St Mcallen, TX - 785013418 |
Business Phone Number: | 9566822306 |
Business Fax Number: | 9566822307 |
Mailing Address: | 2805 N 43rd St, MCALLEN |
State: | TX |
Postal Code: | 785013418 |
Phone Number: | 9566822306 |
Fax Number: | 9566822307 |
NPI Enumeration Date: | 01/05/2015 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |