Organization
DERMATOLOGY SOUTHWEST
Active
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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