| Organization Name: | MICHAEL A. BASCO M.D. PA |
| NPI Number: | 1003053075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ANGELO BASCO (PRESIDENT) |
| Mailing Address: | 1903 Doctors Hospital Dr Suite 36 Bridgeport |
| State: | TX US |
| Postal Code: | 764262269 |
| Phone Number: | 9406830127 |
| Fax Number: | 9406832270 |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 08/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | H5151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |