Basa, Nicole Reyes
Basa, Nicole Reyes is an individual health care provider with primary practice located at 1410 Medical Pkwy Suite 1, Cedar Park TX 78613-7464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Basa, Nicole Reyes can be contacted via phone (512) 260-3444.Contact Information
Primary practice address
1410 Medical Pkwy Suite 1
Cedar Park TX 78613-7464
Phone: (512) 260-3444
Fax: (512) 260-3555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M7029 | Texas |
Profile Details
| NPI number | 1508969452 |
|---|---|
| LBN Legal business name | Basa, Nicole Reyes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Dec 29th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508969452 | NPPES |
| Texas | Other | 8AQ401 | BCBS TX |
| Texas | MEDICAID | 190366801 | BCBS TX |
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