Provider Demographics
NPI:1841768157
Name:BAS NAIR MD PA
Entity Type:Organization
Organization Name:BAS NAIR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-222-2002
Mailing Address - Street 1:8806 BRYCE CANYON CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6382
Mailing Address - Country:US
Mailing Address - Phone:281-222-2002
Mailing Address - Fax:
Practice Address - Street 1:8806 BRYCE CANYON CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6382
Practice Address - Country:US
Practice Address - Phone:281-222-2002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty