Organization
DERMATOLOGY SOUTHWEST
Active
Other names
M. Basem Chaker, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED BASEM CHAKER MD (PRESIDENT)
(817) 568-0500
Entity
Organization
Contact information
Practice address
12001 SOUTH FWY, STE. 205, BURLESON, TX 76028-7208
(817) 568-0500
(817) 568-0501
Mailing address
12001 SOUTH FWY, STE. 205, BURLESON, TX 76028-7208
(817) 568-0500
(817) 568-0501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H9018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00532R
PTAN
TX
Enumeration date
12/08/2009
Last updated
02/02/2010
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