Provider Demographics
NPI:1407698509
Name:BASAR, HASSEEY
Entity type:Individual
Prefix:
First Name:HASSEEY
Middle Name:
Last Name:BASAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13925 TRISTAN LN APT 711
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-2431
Mailing Address - Country:US
Mailing Address - Phone:612-991-2689
Mailing Address - Fax:
Practice Address - Street 1:13925 TRISTAN LN APT 711
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-2431
Practice Address - Country:US
Practice Address - Phone:612-991-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)