Provider Demographics
NPI:1477530251
Name:BUZAD, FRANCIS ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ANTHONY
Last Name:BUZAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 N MOPAC EXPY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2401
Mailing Address - Country:US
Mailing Address - Phone:512-901-4019
Mailing Address - Fax:512-901-3919
Practice Address - Street 1:12221 N MOPAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2401
Practice Address - Country:US
Practice Address - Phone:512-901-4019
Practice Address - Fax:512-901-3919
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0070541208600000X
TXK7427208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157603501Medicaid
TX8A6331Medicare PIN
TXP00020184Medicare PIN
TXH55133Medicare UPIN