Organization
BASILEIA GROUP, INC
Active
Parent organization
BASILEIA GROUP
Other names
NEW DIMENSION PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASILEIA GROUP
Authorized official
DR. CARLOS HEATH PHARM.D (PHARMACIST)
(713) 263-7680
Entity
Organization
Contact information
Practice address
1102 PINEMONT DR STE F, HOUSTON, TX 77018-1323
(713) 263-7680
Mailing address
1102 PINEMONT DR STE F, HOUSTON, TX 77018-1323
(713) 263-7680
(713) 263-7685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148375
—
TX
Enumeration date
03/15/2011
Last updated
01/06/2021
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