Individual
EDUARDO VIRTUCIO BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 NEW COVINGTON PIKE STE 220, MEMPHIS, TN 38128-2595
(901) 763-0200
(901) 761-4002
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16975
MS
207RC0000X
Cardiovascular Disease Physician
Primary
31561
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122315
—
MS
05
—
143997001
—
AR
05
—
1519959
—
TN
01
—
4270156
BCBS
TN
Enumeration date
07/26/2005
Last updated
05/17/2024
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