BASSEM MAZLOUM MD, PA
Osteopathic Medicine at Huebner Rd, San Antonio, TX

License number
Texas J3156
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: BASSEM W MAZLOUM MD
Title: DOCTOR
Phone: (210) 558-7300
Address
Address
9502 Huebner Rd STE 101, San Antonio, TX 78240
National Provider ID: 1982807186
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BASSEM MAZLOUM, M.D., PA

9502 Huebner Rd STE 101, San Antonio, TX 78240

Status:
Inactive
Doing business as:
Bassem Mazloum, M.D., PA
Registration:
Dec 12, 2001
State ID:
0800035347
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Bassem W. Mazloum President, Treasurer, Secretary, Director, Member, Vice-President, inactive
TIN:
32035944894

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