Individual
DR. MOHAMMED BASEM CHAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12001 SOUTH FWY, SUITE 205, BURLESON, TX 76028-7208
(817) 568-0500
(817) 568-0501
Mailing address
12001 SOUTH FWY, SUITE 205, BURLESON, TX 76028-7208
(817) 568-0500
(817) 568-0501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H9018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113349801
—
TX
Enumeration date
09/20/2006
Last updated
03/26/2013
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