Individual
BASAK ERGUVAN DOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-9257
(214) 645-2554
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N6858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912560001
—
TX
01
—
8AG964
BCBS
TX
01
—
P00455628
RR MEDICARE
TX
Enumeration date
08/16/2007
Last updated
05/15/2018
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