Basilico, Leopoldo Mario
Basilico, Leopoldo Mario is an individual health care provider with primary practice located at 7522 Campbell Rd Suite 100, Dallas TX 75248-1784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Basilico, Leopoldo Mario can be contacted via phone (972) 267-6653.Contact Information
Primary practice address
7522 Campbell Rd Suite 100
Dallas TX 75248-1784
Phone: (972) 267-6653
Fax: (972) 248-3604
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K6534 | Texas |
Profile Details
NPI number | 1508836248 |
---|---|
LBN Legal business name | Basilico, Leopoldo Mario |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1508836248 | NPPES |
Texas | MEDICAID | 092507501 |
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