Doctor Name: | MISS KAMESHA JENNEL BASZILE |
NPI Number: | 1003073800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 675801 |
Business Practice Address: | 6550 Fannin St Employee Health Clinic - Smith 555 Houston, TX - 770302717 |
Business Phone Number: | 7134411391 |
Business Fax Number: | 7134417200 |
Mailing Address: | 6550 Fannin St, Employee Health Clinic - Smith 555 HOUSTON |
State: | TX |
Postal Code: | 770302717 |
Phone Number: | 7134411391 |
Fax Number: | 7134417200 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 675801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |