Organization
BSR.I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCA MEDINA BONEY RN (CEO/PRESIDENT)
(832) 618-6619
Entity
Organization
Contact information
Practice address
2503 ROSEDALE ST, HOUSTON, TX 77004-6077
(832) 618-6619
Mailing address
4110 ALMEDA RD # 8447, HOUSTON, TX 77004-4869
(832) 618-6619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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