Bunch, Azalea Marie
Bunch, Azalea Marie is an individual health care provider with primary practice located at 605 Holderrieth Blvd , Tomball TX 77375-6445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bunch, Azalea Marie can be contacted via phone (281) 401-7695.Contact Information
Primary practice address
605 Holderrieth Blvd
Tomball TX 77375-6445
Phone: (281) 401-7695
Fax: (281) 401-7883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 693984 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP114189 | Texas |
Profile Details
| NPI number | 1083662787 |
|---|---|
| LBN Legal business name | Bunch, Azalea Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083662787 | NPPES |
| Texas | Other | 8Y0144 | BCBSTX PROVIDER NUMBER |
| Texas | Other | 8Y3484 | BCBSTX PROVIDER NUMBER |
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