Individual
DR. LUTFI BASATNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 N GALLOWAY 101, MESQUITE, TX 75149-2440
(972) 342-6265
(972) 279-9040
Mailing address
1320 N GALLOWAY 101, MESQUITE, TX 75149-2440
(972) 342-6265
(972) 279-9040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0966798-01
—
TX
Enumeration date
06/24/2006
Last updated
08/07/2012
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