Mr. Rafael Gerald Basa
Mr. Rafael Gerald Basa is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200
Phone: (832) 817-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 774109 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (TX) |
Record details
| NPI number | 1528831948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 7, 2023 |
| Last updated in NPPES | February 26, 2024 |
| Certification date | February 26, 2024 |
| Mailing address | 3083 Herschel Ave, Dallas, TX 75219-2025 |
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David Bashover
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Aida Basirat, MD
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Mark Baskharoun
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Joel R. Baskin, MD
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