Joanne B Bassali, | |
5542 Walzem Rd, Windcrest, TX 78218-2103 | |
(210) 922-7000 | |
(210) 637-2499 |
Full Name | Joanne B Bassali |
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Gender | Female |
Speciality | Pediatrics |
Location | 5542 Walzem Rd, Windcrest, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215014071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L3240 (Texas) | Primary |
Entity Name | El Centro Del Barrio Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538264429 PECOS PAC ID: 6800881285 Enrollment ID: O20040415001061 |
Mailing Address | Practice Location Address |
---|---|
Joanne B Bassali, 3750 Commercial Ave, San Antonio, TX 78221-3117 Ph: (210) 922-7000 | Joanne B Bassali, 5542 Walzem Rd, Windcrest, TX 78218-2103 Ph: (210) 922-7000 |
Dr. Jessica Lynn Molina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5542 Walzem Rd, Windcrest, TX 78218 Phone: 210-922-7000 Fax: 210-637-2499 | |
Prabhjot Randev, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 5542 Walzem Rd, Windcrest, TX 78218 Phone: 210-922-7000 Fax: 210-637-2499 | |
Dr. Soheir Girgis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5542 Walzem Rd, Windcrest, TX 78218 Phone: 210-922-7000 Fax: 210-637-2499 |