Basic Information
| Provider Information | |||||||||
| NPI: | 1063600013 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAXIMOS | ||||||||
| FirstName: | BASSEM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPH, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 651 N EGRET BAY BLVD # 270 | ||||||||
| Address2: | SUITE H | ||||||||
| City: | LEAGUE CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775732681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8326321333 | ||||||||
| FaxNumber: | 8326321777 | ||||||||
| Practice Location | |||||||||
| Address1: | 651 N EGRET BAY BLVD FM270 | ||||||||
| Address2: | SUITE H | ||||||||
| City: | LEAGUE CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775732681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8326321333 | ||||||||
| FaxNumber: | 8326321777 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2007 | ||||||||
| LastUpdateDate: | 09/16/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | M7411 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.