Provider Demographics
NPI:1649593633
Name:NJZ MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:NJZ MEDICAL ASSOCIATES
Other - Org Name:DR. BRYAN DRAZNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DRAZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-265-8650
Mailing Address - Street 1:PO BOX 12753
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-0753
Mailing Address - Country:US
Mailing Address - Phone:214-265-8650
Mailing Address - Fax:214-265-8457
Practice Address - Street 1:10300 N CENTRAL EXPY
Practice Address - Street 2:SUITE 350
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8600
Practice Address - Country:US
Practice Address - Phone:214-265-8650
Practice Address - Fax:214-265-8457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0945208100000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty