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Individual

BASSAM J ZAKHOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
929 N GALLOWAY AVE, SUITE 210, MESQUITE, TX 75149-2476
(972) 613-5860
(972) 613-5893
Mailing address
929 N GALLOWAY AVE, 210, MESQUITE, TX 75149-2476
(972) 613-5860
(972) 613-5893

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G8771
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122672201
TX
Enumeration date
05/01/2006
Last updated
07/22/2010
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