Provider Demographics
NPI:1467806778
Name:BASRA, TAMNEET (MD)
Entity Type:Individual
Prefix:
First Name:TAMNEET
Middle Name:
Last Name:BASRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAMNEET
Other - Middle Name:
Other - Last Name:BASRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-4928
Mailing Address - Fax:210-567-1976
Practice Address - Street 1:6445 MAIN STREET
Practice Address - Street 2:OUTPATIENT CENTER, FLOOR 22
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-441-4345
Practice Address - Fax:713-790-3089
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT8175207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology