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Individual
TOM R BASYE
Active
Individual
TOM R BASYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K5066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104571802
—
TX
05
—
104571805
—
TX
01
—
14148509
CAQH
—
05
—
200033550A
—
OK
05
—
41289056
—
NM
01
—
774417
MEDICARE
TX
01
—
81120S
BLUE CROSS & BLUE SHIELD
TX
01
—
8KN294
BCBS
TX
Enumeration date
10/18/2006
Last updated
03/07/2025
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