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Organization
BASEM JASSIN, MD PA
Active
Organization
BASEM JASSIN, MD PA
Active
Other names
Ennis Ear, Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEM JASSIN M.D. (PRESIDENT)
(972) 875-9700
Entity
Organization
Contact information
Practice address
818 W ENNIS AVE, ENNIS, TX 75119-3810
(972) 875-9700
(972) 875-9721
Mailing address
818 W ENNIS AVE, ENNIS, TX 75119-3810
(972) 875-9700
(972) 875-9721
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021PU
BCBS GROUP
TX
05
—
153977701
—
TX
01
—
DF4605
RAILROAD MC
TX
Enumeration date
03/27/2007
Last updated
09/22/2010
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