Individual
BARRY J. BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 E RENFRO ST, SUITE 109, BURLESON, TX 76028-3947
(817) 293-9200
(877) 838-0751
Mailing address
312 EAST RENFRO, SUITE 109, BURLESON, TX 76028
(817) 293-9200
(877) 838-0751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A11254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165043401
—
TX
01
—
P00182185
MEDICARE RAILROAD
TX
Enumeration date
04/17/2006
Last updated
06/11/2013
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