Provider Demographics
NPI:1922455781
Name:BASSAM A. HAMID M.D.,P.A. URGENT CARE/PRIMARYCARE
Entity Type:Organization
Organization Name:BASSAM A. HAMID M.D.,P.A. URGENT CARE/PRIMARYCARE
Other - Org Name:BASSAM HAMID A M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING/RECPT
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-427-2149
Mailing Address - Street 1:608 TRAVIS ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:TX
Mailing Address - Zip Code:77575-4826
Mailing Address - Country:US
Mailing Address - Phone:281-427-2149
Mailing Address - Fax:281-427-4390
Practice Address - Street 1:608 TRAVIS
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:TX
Practice Address - Zip Code:77575
Practice Address - Country:US
Practice Address - Phone:281-427-2149
Practice Address - Fax:281-427-4390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BASSAM HAMID A. M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-20
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care