Individual
NANCY E BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4450 HIGHLAND AVE, BEAUMONT, TX 77705-5205
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N5557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N5557
TEXAS MEDICAL BOARD LICENSE
TX
Enumeration date
07/12/2006
Last updated
01/04/2018
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