Individual
DR. BENJAMIN A BASSICHIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14755 PRESTON RD, SUITE 110, DALLAS, TX 75254-6815
(972) 774-1777
Mailing address
14755 PRESTON RD, SUITE 110, DALLAS, TX 75254-6815
(972) 774-1777
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
K2643
TX
Other
Enumeration date
04/02/2006
Last updated
07/08/2007
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