Individual
MUJEEB BASIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5184 TEX OAK AVE FL 4, DALLAS, TX 75235
(214) 266-9582
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R4812
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/23/2008
Last updated
05/30/2019
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