Organization
MICHAEL A. BASCO M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANGELO BASCO M.D. (PRESIDENT)
(940) 683-0127
Entity
Organization
Contact information
Practice address
1903 DOCTORS HOSPITAL DR, SUITE 36, BRIDGEPORT, TX 76426-2269
(940) 683-0127
(940) 683-2270
Mailing address
1903 DOCTORS HOSPITAL DR, SUITE 36, BRIDGEPORT, TX 76426-2269
(940) 683-0127
(940) 683-2270
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H5151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136435807
—
TX
Enumeration date
01/13/2009
Last updated
08/24/2010
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