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Organization

NEW LIGHT ENDO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIPTI BAVISHI (OWNER)
(713) 541-0000
Entity
Organization

Contact information

Practice address
18929 HIGHWAY 59 N, HUMBLE, TX 77338-4270
(281) 446-4053
(281) 446-6372
Mailing address
7777 SOUTHWEST FWY STE 544, HOUSTON, TX 77074-1809
(713) 541-0000
(713) 541-0087

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC163
TX

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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