Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | R6972 | TX |
Y | 111NI0900X | Internist | R6972 | TX |
N | 208200000X | Surgeon | BP10044390 | TX |
N | 208600000X | Surgeon | BP10044390 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | BP10044390 | TX |
NPI | 1194084327 |
---|---|
Provider Name | Deniz Selda Basci |
First Address | Dallas, TX 75204-1849 |
Second Address | Dallas, TX 75390 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 05/09/2018 |