Bashir, Mamoun E
Bashir, Mamoun E is an individual health care provider with primary practice located at 3302 W Golf Course Rd Ste 100 , Midland TX 79703-5110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bashir, Mamoun E can be contacted via phone (432) 522-2304.Contact Information
Primary practice address
3302 W Golf Course Rd Ste 100
Midland TX 79703-5110
Phone: (432) 522-2304
Fax: (432) 522-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M9147 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M9147 | Texas |
Profile Details
| NPI number | 1588851232 |
|---|---|
| LBN Legal business name | Bashir, Mamoun E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Apr 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588851232 | NPPES |
| Texas | MEDICAID | 1588851232 | |
| Texas | MEDICAID | 194080104 | |
| Texas | MEDICAID | 194080107 |
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