Provider Demographics
NPI:1972640241
Name:BASHIR, QAISER (MD)
Entity type:Individual
Prefix:
First Name:QAISER
Middle Name:
Last Name:BASHIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 423
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-794-5745
Mailing Address - Fax:713-794-4902
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT 423
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-794-5745
Practice Address - Fax:713-794-4902
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN2397207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216458401Medicaid
TXB110257Medicare PIN