Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT195664 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | Q6150 | TX |
NPI | 1164652269 |
---|---|
Provider Name | Dalia Bashir |
First Address | Houston, TX 77021-2039 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 11/10/2018 |