Basa, Nicole Reyes

Basa, Nicole Reyes is an individual health care provider with primary practice located at 1410 Medical Pkwy Suite 1, Cedar Park TX 78613-7464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Basa, Nicole Reyes can be contacted via phone (512) 260-3444.

Contact Information

Primary practice address
1410 Medical Pkwy Suite 1 Cedar Park TX 78613-7464
Phone: (512) 260-3444
Fax: (512) 260-3555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M7029 Texas

Profile Details

NPI number 1508969452
LBN Legal business name Basa, Nicole Reyes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508969452 NPPES
Texas Other 8AQ401 BCBS TX
Texas MEDICAID 190366801 BCBS TX

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