Individual
DR. BASEM JASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 W ENNIS AVE, ENNIS, TX 75119-3810
(972) 875-9700
(972) 875-9721
Mailing address
818 W ENNIS AVE, ENNIS, TX 75119-3810
(972) 875-9700
(972) 875-9721
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L3693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047JG
BCBS IND #
TX
01
—
040017501
RAILROAD MC
TX
05
—
153978501
—
TX
Enumeration date
12/14/2005
Last updated
09/22/2010
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