Individual
DR. AVITAL BASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
801 CONOVER DR, GRAND PRAIRIE, TX 75051-1519
(214) 266-3415
Mailing address
3650 CEDARPLAZA LN APT 1336, DALLAS, TX 75209-6349
(469) 247-1696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68849
TX
Other
Enumeration date
07/30/2021
Last updated
09/16/2024
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