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NPI Code Detail

MEDICARE: EVAN BASHA

MEDICARE: EVAN BASHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianW4754TX

General Provider Information

NPI Number : 1326625146
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN BASHA
Provider Business Mailing Address
First Line : 9110 CURLING POST
Second Line :
City : SCHERTZ
State : TX
Zip : 78154-2873
Country : US
Telephone Number : 210-313-2631
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-648-9510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 06/17/2026

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Directions to “ EVAN BASHA ” Practice Location

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