Provider Demographics
NPI:1841952975
Name:PAZ, MARC
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:
Last Name:PAZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5053
Mailing Address - Country:US
Mailing Address - Phone:318-352-0099
Mailing Address - Fax:318-352-1032
Practice Address - Street 1:366 SOUTH DR
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5053
Practice Address - Country:US
Practice Address - Phone:318-352-0099
Practice Address - Fax:318-352-1032
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor