Individual
PAT F BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10788 SUNRISE PT, SHREVEPORT, LA 71106-9336
(318) 573-9413
Mailing address
10788 SUNRISE PT, SHREVEPORT, LA 71106-9336
(318) 573-9413
(318) 266-8253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-18993
AR
207R00000X
Internal Medicine Physician
MD-50315
IA
207R00000X
Internal Medicine Physician
Primary
MD.022539
LA
207R00000X
Internal Medicine Physician
U6847
TX
208000000X
Pediatrics Physician
MD.022539
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493686
—
LA
Enumeration date
07/20/2006
Last updated
03/19/2025
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