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Contact Information

DANIEL BASHAM
1208-Q NORTH IH-35
ROUND ROCK, TX78681
 Phone: 512-310-7665
 Fax: 512-310-9228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for DANIEL BASHAM · (Male)

NPI # 1275735490
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 2060463
  • TX Other 0031DG BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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