Individual
AIDA BASIRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-4917
(214) 648-7813
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7813
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
U9840
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
08/06/2025
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