GHASSAN M BASLAIM

FORT WORTH, TX
NPI1053763433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: TX  45528)
Enumeration Date2016-07-08
Last Update Date2016-07-08
Business Address
-- GHASSAN M BASLAIM
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-6400
Mailing Address
-- GHASSAN M BASLAIM
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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