MEDICARE: DR. ALLEN FRANK BASKIND 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	208600000X	Surgery Physician	F0133	TX

General Provider Information

NPI Number	:	1992906267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN FRANK BASKIND M.D.

Provider Business Mailing Address
First Line	:	18610 TURNBRIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5023
Country	:	US
Telephone Number	:	972-733-0596
Fax Number	:	469-737-8787

Provider Business Practice Location Address
First Line	:	18610 TURNBRIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5023
Country	:	US
Telephone Number	:	972-733-0596
Fax Number	:	469-737-8787

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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