Provider Demographics
NPI:1508054552
Name:BASSEM MAXIMOS, M.D., MPH, P.A.
Entity Type:Organization
Organization Name:BASSEM MAXIMOS, M.D., MPH, P.A.
Other - Org Name:MAXIMOS OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BASSEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXIMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-632-1333
Mailing Address - Street 1:651 N EGRET BAY BLVD FM 270
Mailing Address - Street 2:SUITE H
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573
Mailing Address - Country:US
Mailing Address - Phone:832-632-1333
Mailing Address - Fax:832-632-1777
Practice Address - Street 1:651 N EGRET BAY BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2681
Practice Address - Country:US
Practice Address - Phone:832-632-1333
Practice Address - Fax:832-632-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty