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Individual

MARY SUZANNE BASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19238 STONEHUE, SAN ANTONIO, TX 78258-3447
(210) 494-2223
(210) 494-6516
Mailing address
19238 STONEHUE, SAN ANTONIO, TX 78258-3447
(210) 494-2223
(210) 494-6516

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0257
TX

Other

Enumeration date
07/27/2005
Last updated
07/08/2007
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