Basem Jassin, Md Pa in Ennis - Otolaryngology
Basem Jassin, Md Pa - NPI 1861510018
Basem Jassin, Md Pa is a Otolaryngology in Ennis, Texas. Basem Jassin, Md Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Basem Jassin, Md Pa is 1861510018. The last update date is 2010-09-22.
Basem Jassin, Md Pa's current location address is 818 W Ennis Ave, Ennis, Texas. You can contact this provider via phone number 9728759700 and fax number 9728759721. The mailing address for Basem Jassin, Md Pa is 818 W Ennis Ave, Ennis, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Basem Jassin, Md Pa |
|---|---|
| Address | 818 W Ennis Ave, Ennis, Texas |
| Phone Number | 9728759700 |
| Fax Number | 9728759721 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jassin Basem |
| Credentials | M.D. |
| Telephone Number | 9728759700 |
NPI Number Detail
| NPI Number | 1861510018 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2010-09-22 |
Provider Mailing Address Detail
| Address | 818 W Ennis Ave |
|---|---|
| City | Ennis |
| State | Texas (TX) |
| Post Code | 751193810 |
| Phone Number | 9728759700 |
| Fax Number | 9728759721 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DF4605 | TX | RAILROAD MC | |
| 153977701 | TX | -- | |
| 0021PU | TX | BCBS GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Basem Jassin, Md Pa?
The Basem Jassin, Md Pa has been issued the NPI (National Provider Identifier) 1861510018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Basem Jassin, Md Pa is physically located?
The Basem Jassin, Md Pa is physically situated at the following address: 818 W Ennis Ave, Ennis, TX, 751193810.
What is the Basem Jassin, Md Pa's specialty and taxonomy code?
The Basem Jassin, Md Pa's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
When did Basem Jassin, Md Pa receive its 1861510018 assignment?
The Basem Jassin, Md Pa was assigned its 1861510018 on 2007-03-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Basem Jassin, Md Pa most recently updated or revised?
The information pertaining to Basem Jassin, Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-22.