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Willie D Bass
Student in an Organized Health Care Education/Training Program in Addison, Texas
NPI 1790414654

Willie D Bass is a Student in an Organized Health Care Education/Training Program based in Addison, TX. Willie D Bass practices in Addison, TX. The NPI Number for Willie D Bass is 1790414654 and holds a License No. (Texas).

The current practice location address for Willie D Bass is 14275 Midway Rd Ste 260, Addison, TX and can be reached out via phone at 702-900-4522.

Location: 14275 Midway Rd Ste 260, Addison, TX, 75001-3613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790414654
Provider Name
Willie D Bass
Credential
Provider Entity Type
Individual
Gender
Male
Address
14275 Midway Rd Ste 260, Addison, TX, 75001-3613
Phone Number
702-900-4522
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14275 Midway Rd Ste 260
City
Addison
State
Texas
Zip
75001-3613
Phone Number
702-900-4522
Fax Number
person
Provider Business Mailing Address Details
Address
14275 Midway Rd Ste 260
City
Addison
State
Texas
Zip
75001-3613
Phone Number
702-900-4522
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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