Individual
MR. HUMAM BASSAM KAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7515 GREENVILLE AVE STE 706, DALLAS, TX 75231-3885
(469) 547-1142
(469) 547-1162
Mailing address
7515 GREENVILLE AVE STE 706, DALLAS, TX 75231-3885
(469) 547-1142
(469) 547-1162
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
K0853
TX
Other
Enumeration date
10/11/2005
Last updated
07/24/2024
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