Provider Demographics
NPI:1891288874
Name:BASNET, DIKSHYA LAXMI
Entity Type:Individual
Prefix:
First Name:DIKSHYA
Middle Name:LAXMI
Last Name:BASNET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 COUNTRY SQUARE DR APT 2102
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6759
Mailing Address - Country:US
Mailing Address - Phone:469-579-2073
Mailing Address - Fax:
Practice Address - Street 1:3020 COUNTRY SQUARE DR APT 2102
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6759
Practice Address - Country:US
Practice Address - Phone:469-579-2073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX944567163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse