Individual
DR. MARLEESA THOMPSON BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 FANNIN ST STE JJL 431, HOUSTON, TX 77030-1501
(713) 500-7878
Mailing address
6431 FANNIN ST STE JJL 431, HOUSTON, TX 77030-1501
(713) 500-7878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
328927
LA
Other
Enumeration date
05/16/2018
Last updated
12/28/2021
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