Basa, Rafael Gerald

Basa, Rafael Gerald is an individual health care provider with primary practice located at 5323 Harry Hines Blvd Stop 7200 , Dallas TX 75390-7200. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Basa, Rafael Gerald can be contacted via phone (832) 817-0191.

Contact Information

Primary practice address
5323 Harry Hines Blvd Stop 7200 Dallas TX 75390-7200
Phone: (832) 817-0191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 774109 Texas

Profile Details

NPI number 1528831948
LBN Legal business name Basa, Rafael Gerald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2023
Last updated Feb 26th, 2024 - about last year

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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