Organization
AMELITA LOURDES P. BASA, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELITA LOURDES PATRICIO BASA M.D. (PHYSICIAN)
(713) 271-2030
Entity
Organization
Contact information
Practice address
8200 WEDNESBURY LN STE 380, HOUSTON, TX 77074-2931
(713) 271-2030
Mailing address
2340 SHERIDAN ST, HOUSTON, TX 77030-2018
(713) 271-2030
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K9486
TX
Other
Enumeration date
03/01/2011
Last updated
03/19/2019
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