Organization
FOUNDATION ANCILLARY SERVICES AFFILIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DENISE VICTORIAN R.N. (ADMINISTRATOR)
(713) 581-6950
Entity
Organization
Contact information
Practice address
5420 WEST LOOP S, SUITE 3100, BELLAIRE, TX 77401-2107
(713) 581-6950
(713) 581-6951
Mailing address
PO BOX 3108, DEPT 902, HOUSTON, TX 77253-3108
(713) 581-6950
(713) 581-6951
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/05/2011
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