Willie D Bass

NPI #1790414654 in Addison, Texas

Provider Information

NPI Number
1790414654
Entity Type
Individual
Name
Willie D Bass
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jun 7, 2022
Last Updated
Jun 7, 2022

Practice Location

Address
14275 MIDWAY RD STE 260
State
Texas
ZIP Code
75001-3613
Phone
(702) 900-4522

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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