Bassem Mazloum MD, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

J3156 Issued in TX

Legal business name

BASSEM MAZLOUM MD, PA

Practice address

9502 Huebner Rd
Ste 101
San Antonio, TX 78240-1548

Phone

(210) 558-7300

Fax

(210) 558-7329

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Bassem W Mazloum, MD

Title

Doctor

Phone

(210) 558-7300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1982807186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 HUEBNER RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401548",
            "telephone_number": "210-558-7300",
            "fax_number": "210-558-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 HUEBNER RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401548",
            "telephone_number": "210-558-7300",
            "fax_number": "210-558-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSEM MAZLOUM MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MAZLOUM",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-558-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bass, LCSW
• Eliza Mak Bass, RBT
• Isabel Bass, MD
• Orah Bass, LPC
• Robert Gene Bass Jr., M.D.
• Emilee Bassett, RBT
• Jason Thomas Bassett, D.C.
• Kathlene E Bassett, MD
• Macy Marie Basterrechea, DPT
• David Bastian

• Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.