Individual
DR. MOHANNAD BASEM BISHARAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3023 PERRYTON PKWY, SUITE 101, PAMPA, TX 79065-2821
(806) 663-5523
(806) 669-1491
Mailing address
3023 PERRYTON PKWY, SUITE 101, PAMPA, TX 79065-2821
(806) 663-5523
(806) 669-1491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08532200
NJ
207RI0011X
Interventional Cardiology Physician
Primary
Q3484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345256701
—
TX
Enumeration date
01/08/2010
Last updated
08/03/2016
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