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Individual

MR. GENE BASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RNC, MSN, NNP

Contact information

Practice address
MEMORIAL HERMANN THE WOODLANDS HOSPITAL, 9250 PINECROFT, THE WOODLANDS, TX 77380
(281) 364-2573
(281) 364-2522
Mailing address
9250 PINECROFT DR, THE WOODLANDS, TX 77380-3218

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
500048
TX

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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