Organization
SOLERA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI BAVISHI M.D. (MEDICAL DIRECTOR)
(832) 835-3000
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE 558, HOUSTON, TX 77074-1802
(832) 835-3000
Mailing address
7777 SOUTHWEST FWY, SUITE 558, HOUSTON, TX 77074-1802
(832) 835-3000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
03/01/2016
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