Individual
APRAM BASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
900 MATISSE DR APT 4001, FORT WORTH, TX 76107-2483
(972) 822-5885
Mailing address
900 MATISSE DR APT 4001, FORT WORTH, TX 76107-2483
(972) 822-5885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101017929
MI
207P00000X
Emergency Medicine Physician
Primary
FB4598415
TX
208600000X
Surgery Physician
5101017929
MI
208600000X
Surgery Physician
5315037173
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P22027
EMPLOYEE ID
TX
Enumeration date
04/30/2009
Last updated
03/20/2017
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