M. Basem Chaker, M.D. P.a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

641224 Issued in TX

Legal business name

M. BASEM CHAKER, M.D. P.A.

Doing business as

Dermatology Southwest

Practice address

12001 South Freeway
#205
Burleson, TX 76028

Phone

(817) 568-0500

Fax

(817) 568-0501

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Basem Chaker, M.D.

Title

President

Phone

(817) 568-0500

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Southwest Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1922143544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FREEWAY",
            "address_2": "#205",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-568-0500",
            "fax_number": "817-568-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FREEWAY",
            "address_2": "#205",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-568-0500",
            "fax_number": "817-568-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. BASEM CHAKER, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CHAKER",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-568-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "641224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Javier Lozano, D.O., M.S,
• Holli Mae Lueg, PA-C
• Lux Eyewear for Less
• M Brandon Pettke DC PA (HealthSource Chiropractic & Progressive Rehab)
• M. Basem Chaker, M.D. P.a. (Dermatology Southwest)
• Vandana Maddali, M.D
• Janice Magetto
• Eddie L Mahan, LPC
• Sophia Mahaney
• Rose N Maina, NP

• Family Nurse Practitioner in Burleson, TX
• Providers in Burleson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.