Kelly Ann Bass
Physician Assistant in Dallas, TX. Individual provider (NPI-1).
NPI number1982253605
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1982253605
- Entity type
- Individual (NPI-1)
- Name
- Kelly Ann Bass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2019
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
5184 Tex Oak Ave Fl 5Dallas, TX 75235-7822
Phone 214-517-8270
Mailing address
5184 Tex Oak Ave Fl 5Dallas, TX 75235-7822
Phone 214-517-8270
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