Individual
DR. KATRINA MELANE BASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093-5339
(972) 758-6000
(972) 758-6001
Mailing address
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093-5339
(972) 758-6000
(972) 758-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J1866
TX
207RG0100X
Gastroenterology Physician
Primary
J1866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011008
RR MEDICARE
TX
05
—
1254237-05
—
TX
05
—
125423702
—
TX
Enumeration date
08/16/2006
Last updated
08/17/2012
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