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1942322409

NPI Code Detail

MEDICARE: DR. DARRELL EDWARD BASKIN MD

MEDICARE: DR. DARRELL EDWARD BASKIN MD

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
1	207W00000X	Ophthalmology Physician	MD2024-0410	NM
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	L9618	TX
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD2024-0410	NM
4	207W00000X	Ophthalmology Physician	L9618	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942322409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRELL EDWARD BASKIN MD

Provider Business Mailing Address
First Line	:	1 HAVEN FOR HOPE WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-1266
Country	:	US
Telephone Number	:	210-220-2370
Fax Number	:	210-220-2499

Provider Business Practice Location Address
First Line	:	1 HAVEN FOR HOPE WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-1266
Country	:	US
Telephone Number	:	210-220-2370
Fax Number	:	210-220-2499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/17/2025

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Directions to “ DR. DARRELL EDWARD BASKIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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