Individual
DANIEL WARREN BASSUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 8TH AVE, FT WORTH, TX 76104-3902
(817) 336-2100
Mailing address
900 8TH AVE, FT WORTH, TX 76104-3902
(817) 336-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U2783
TX
Other
Enumeration date
03/30/2020
Last updated
07/05/2023
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