NPI age
14 years
Enumerated 2011-11-15
● Active
Type 1 · Individual
DR. Robert Bazaco JR., MD
Bazaco is 1 of 1062 family medicine providers in San Antonio and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
TX, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Practice location
3846 Medical Dr Ste 100
San Antonio, TX 782292462
Mailing address
813 Lower Lacoste Rd
Castroville, TX 780095232
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2400 Highway 95 Ste 50
Bullhead City, AZ 864427313
Location 3
2500 Canyon Rd Ste A1
Bullhead City, AZ 864428492
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Family MedicineA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AZ) | 879064 | |
| 01 (AZ) | 3120998 | CIGNA |
| 01 (AZ) | 7387955 | AETNA |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 6 new family medicine providers have been added in San Antonio in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.