MEDICARE: DR. EVA MOSBACHER BASHOVER M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	Q7640	TX

General Provider Information

NPI Number	:	1669731766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVA MOSBACHER BASHOVER M.D.

Provider Business Mailing Address
First Line	:	3445 EXECUTIVE CENTER DR. STE 250
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1678
Country	:	US
Telephone Number	:	512-228-6253
Fax Number	:	888-977-4907

Provider Business Practice Location Address
First Line	:	3445 EXECUTIVE CENTER DR.
Second Line	:	STE250
City	:	AUSTIN
State	:	TX
Zip	:	78731-1678
Country	:	US
Telephone Number	:	512-228-6253
Fax Number	:	888-977-4907

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

Provider Enumeration Date	:	05/09/2012
Last Update Date	:	11/04/2022

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