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Organization

BAYLOR COLLEGE OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDULLAH MOHAMMED BASNAWI M.D. (RESIDENT)
(773) 732-1523
Entity
Organization

Contact information

Practice address
1504 TAUB LOOP, EMERGENCY CENTER , C/O VICTORIA GARCIA, HOUSTON, TX 77030-1608
(713) 873-7045
Mailing address
1504 TAUB LOOP, EMERGENCY CENTER , C/O VICTORIA GARCIA, HOUSTON, TX 77030-1608
(713) 873-7045

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
BP10044220
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
566943
PHYSICIAN IN TRAINING BASIC POSTGRADUATE TRAINING PERMIT
TX
Enumeration date
04/26/2012
Last updated
04/26/2012
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