Organization
BRSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO BUESO LSA (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
6322 WOODBROOK LN, HOUSTON, TX 77008-6254
(281) 463-6309
Mailing address
PO BOX 840967, HOUSTON, TX 77284-0967
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
01/14/2013
Last updated
08/14/2014
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