Michael A. Basco M.d. PA

NPI #1003053075 in Bridgeport, Texas

Provider Information

NPI Number: 1003053075
Entity Type: Organization
Organization Name: Michael A. Basco M.d. PA
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jan 13, 2009
Last Updated: Aug 24, 2010

Practice Location

Address: 1903 DOCTORS HOSPITAL DR
Address 2: SUITE 36
City: Bridgeport
State: Texas
ZIP Code: 76426-2269
Phone: (940) 683-0127

Authorized Official

Name: DR. MICHAEL ANGELO BASCO, M.D.
Title: PRESIDENT
Phone: (940) 683-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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