Willie D Bass
Willie D Bass is a Student in an Organized Health Care Education/Training Program in Addison, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
14275 Midway Rd Ste 260Addison, TX 75001-3613
Phone: (702) 900-4522
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1790414654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 |
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