Organization
BASIN PEDIATRICS, LLC
Active
Other names
BASIN PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA NICOLE SALAS C.P.N.P. (PROVIDER/OWNER)
(432) 218-8899
Entity
Organization
Contact information
Practice address
4410 N MIDKIFF RD STE D4, MIDLAND, TX 79705-4249
(432) 557-6350
Mailing address
2013 MOSSWOOD DR, MIDLAND, TX 79707-5078
(432) 557-6350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
08/10/2023
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