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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508836248 NPPES
Texas MEDICAID 092507501

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