Individual
ANEES N BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7665 ARCHES LN, FRISCO, TX 75035-0022
(727) 048-2879
Mailing address
PO BOX 847408, DALLAS, TX 75284-7556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296504803
—
TX
Enumeration date
01/26/2012
Last updated
12/06/2023
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