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Individual
DR. BASEM JASSIN
Active
Individual
DR. BASEM JASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L3693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047JG
BCBS IND #
TX
01
—
040017501
RAILROAD MC
TX
05
—
153978501
—
TX
Enumeration date
12/14/2005
Last updated
09/22/2010
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