Individual
DR. MICHELLE MANTEL BASSICHIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4350 ALPHA RD, DALLAS, TX 75244-4404
(972) 404-9345
(972) 404-2506
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4204
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
L7306
TX
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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