Organization
CAPITOL MEDICAL MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA BAZALDUA (OFFICE MANAGER)
(713) 335-2371
Entity
Organization
Contact information
Practice address
7505 S. MAIN ST STE# 520, HOUSTON, TX 77030-4540
(713) 335-2365
(713) 328-0796
Mailing address
PO BOX 4897, HOUSTON, TX 77210-4897
(713) 335-2365
(713) 328-0796
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
04/06/2023
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