Individual
CHASTA-DAWNE LOUISE BACSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, UROL. DEPARTMENT, J08.122, MOSS CLINICAL SCIENCE BLDG, DALLAS, TX 75390-9110
(214) 648-7191
(214) 648-8786
Mailing address
5323 HARRY HINES BLVD, UROL. DEPARTMENT, J08.122, MOSS CLINICAL SCIENCE BLDG, DALLAS, TX 75390-9110
(214) 648-7191
(214) 648-8786
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10045080
TX
Other
Enumeration date
09/06/2012
Last updated
10/02/2012
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