Individual
ADAM G BASEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 W 15TH ST, SUITE 300, PLANO, TX 75093-5841
(214) 750-0808
Mailing address
PO BOX 678440, DALLAS, TX 75267-8440
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K8874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175974801
—
TX
01
—
8S4495
BCBS PROVIDER ID
—
Enumeration date
06/06/2006
Last updated
12/14/2021
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