# AMELITA LOURDES P. BASA, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619275690
- **Authorized official:** DR. AMELITA LOURDES PATRICIO BASA M.D. (PHYSICIAN)
- **Authorized official phone:** (713) 271-2030

## Contact information

- **Practice address:** 8200 WEDNESBURY LN STE 380, HOUSTON, TX 77074-2931
- **Practice address phone:** (713) 271-2030
- **Mailing address:** 2340 SHERIDAN ST, HOUSTON, TX 77030-2018
- **Mailing address phone:** (713) 271-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | K9486 | TX | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/19/2019