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Individual

DR. JASON L. BASILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5701 WOODWAY DR, SUITE 225, HOUSTON, TX 77057-1515
(713) 532-2555
(713) 532-2999
Mailing address
5701 WOODWAY DR, SUITE 225, HOUSTON, TX 77057-1515
(713) 532-2555
(713) 532-2999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7968
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
605887
BLUE CROSS/BLUE SHIELD
TX
01
609133
MEDICARE ID
TX
Enumeration date
01/03/2008
Last updated
04/18/2008
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