# ROBERT L BASS MD PROFESSIONAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548454424
- **Authorized official:** TAMMIE MARIE JACKSON (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (214) 239-4500

## Contact information

- **Practice address:** 4461 COIT RD, SUITE 107, FRISCO, TX 75035-0521
- **Practice address phone:** (972) 712-9408
- **Practice address fax:** (972) 712-4493
- **Mailing address:** 4461 COIT RD, SUITE 107, FRISCO, TX 75035-0521
- **Mailing address phone:** (214) 239-4500
- **Mailing address fax:** (214) 239-4504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | H6036 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 07/10/2008