Individual
DR. TERESA JANELLE BASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8181
Mailing address
1441 N. BECKLEY AVE., MEDICAL EDUCATION, DALLAS, TX 75203
(214) 947-2331
(214) 947-2361
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L0021
TX
Other
Enumeration date
08/11/2005
Last updated
10/29/2018
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