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Bassem Mazloum MD, PA

Internal Medicine, Gastroenterology in San Antonio, TX. Organization (NPI-2).

NPI number1982807186
StatusActive
Last updated in NPPESMar 28, 2008

Details

NPI
1982807186
Entity type
Organization (NPI-2)
Legal business name
Bassem Mazloum MD, PA
Organization subpart
No
Enumeration date
Jun 6, 2007
Last updated
Mar 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, GastroenterologyJ3156TXYes

Practice location

9502 Huebner Rd
Ste 101
San Antonio, TX 78240-1548

Phone 210-558-7300 · Fax 210-558-7329

Mailing address

9502 Huebner Rd
Ste 101
San Antonio, TX 78240-1548

Phone 210-558-7300 · Fax 210-558-7329

Authorized official

Bassem W Mazloum
Doctor
2105587300

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