Individual
DR. PARKER ALLEN BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
(432) 697-7089
Mailing address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
(432) 697-7089
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P5031
TX
2086S0127X
Trauma Surgery Physician
P5031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365878301
—
TX
01
—
8FT855
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/12/2011
Last updated
09/25/2018
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