Individual
BASEM RAMZI SHABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 W FRANK AVE, SUITE 210, LUFKIN, TX 75904-3303
(936) 631-6777
(936) 631-6778
Mailing address
1105 W FRANK AVE, SUITE 210, LUFKIN, TX 75904-3303
(936) 631-6777
(936) 631-6778
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
H3172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H3172
TEXAS MEDICAL BOARD
TX
Enumeration date
06/17/2008
Last updated
06/17/2008
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