Organization
MB SURGICAL SERVICES
Active
Organization
MB SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE BOWEN (LSA)
(281) 414-7495
Entity
Organization
Contact information
Practice address
110 NINA LN, STAFFORD, TX 77477-4647
(281) 414-7495
Mailing address
110 NINA LN, STAFFORD, TX 77477-4647
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00461
TX
Other
Enumeration date
05/27/2014
Last updated
06/03/2014
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