Most Relevant Information
Provider Data
NPI Number: | 1003260662 |
Provider Name: | BASEL SHOUA M.D |
Entity Type: | Individual |
Taxonomy Code: | 207RH0003X |
Specialty: | Internal Medicine |
License Number: | 66118 |
Most Important Dates
Enumeration Date: | 04/20/2016 |
Last Updated: | 04/20/2022 |
Provider Practice Location
2070 W RUDASILL RD STE 130
TUCSON
AZ
857047891
Practice Location Phone/Fax
Phone: | 5207974468 |
Fax: | 5207974502 |
Provider Mailing Location
PO BOX 910221
DALLAS
TX
753910221
Provider Mailing Phone/Fax
Phone: | 5205197700 |
Fax: |