Individual
DR. BASSEM MAZLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229-3270
(210) 615-8308
(210) 615-8313
Mailing address
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229-3270
(210) 615-8308
(210) 615-8313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135784008
—
TX
Enumeration date
05/18/2006
Last updated
10/29/2015
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