Provider Demographics
NPI:1073508545
Name:MONZER H YAZJI MD & ASSOCIATES PLLC
Entity type:Organization
Organization Name:MONZER H YAZJI MD & ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONZER
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:YAZJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-292-0100
Mailing Address - Street 1:502 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4660
Mailing Address - Country:US
Mailing Address - Phone:956-292-0100
Mailing Address - Fax:956-383-1906
Practice Address - Street 1:502 S CLOSNER BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4660
Practice Address - Country:US
Practice Address - Phone:956-292-0100
Practice Address - Fax:956-383-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2358TX111N00000X
TXK8336207Q00000X
TXJ9849207R00000X
TX207R00000X
207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K35JOtherBCBS
TX111949703Medicaid
TX111949704Medicaid
TXCN8911OtherRRMC
TXMDJ9849OtherWORKMANS COMP
TX111949701Medicaid
TX111949705Medicaid
TX00K35JOtherBCBS
TX00820NMedicare PIN