Individual
RIMA BASAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6520 N PRESIDENT GEORGE BUSH HWY STE 100, GARLAND, TX 75044-3925
(972) 532-9967
(972) 495-2287
Mailing address
9209 ELAM RD STE 101, DALLAS, TX 75217-7368
(214) 397-9444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1047216
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1047216
TX
Other
Enumeration date
09/22/2021
Last updated
10/03/2022
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