Provider Demographics
NPI:1063600013
Name:MAXIMOS, BASSEM (MD, MPH, PA)
Entity type:Individual
Prefix:DR
First Name:BASSEM
Middle Name:
Last Name:MAXIMOS
Suffix:
Gender:M
Credentials:MD, MPH, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 N EGRET BAY BLVD # 270
Mailing Address - Street 2:SUITE H
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2681
Mailing Address - Country:US
Mailing Address - Phone:832-632-1333
Mailing Address - Fax:832-632-1777
Practice Address - Street 1:651 N EGRET BAY BLVD FM270
Practice Address - Street 2:SUITE H
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2681
Practice Address - Country:US
Practice Address - Phone:832-632-1333
Practice Address - Fax:832-632-1777
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7411207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology