Provider Demographics
NPI:1417049693
Name:BASSETT, RICK WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:WILLIAM
Last Name:BASSETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 TREASURE HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8910
Mailing Address - Country:US
Mailing Address - Phone:956-421-2663
Mailing Address - Fax:956-421-2418
Practice Address - Street 1:1601 TREASURE HILLS BLVD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8910
Practice Address - Country:US
Practice Address - Phone:956-421-2663
Practice Address - Fax:956-421-2418
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3976207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX036238603Medicaid
TX036238602Medicaid
TX036238601Medicaid
TX85670NMedicare PIN
TXCP4267Medicare PIN
TX200008435Medicare PIN
TX036238602Medicaid
B21113Medicare UPIN