Individual
DR. ERIC MICHAEL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12500 DALLAS PARKWAY, FRISCO, TX 75033-9371
(469) 604-9150
(469) 604-9151
Mailing address
7263 SIDEOATS GAMA ST, FRISCO, TX 75033-3298
(469) 604-9150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036 083278
IL
208600000X
Surgery Physician
036083278
IL
208600000X
Surgery Physician
S8685
TX
208C00000X
Colon & Rectal Surgery Physician
036083278
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
S8685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046539
RRMC
IL
05
—
0360832781
—
IL
Enumeration date
02/08/2006
Last updated
08/30/2022
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