Organization
CLEVELAND PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI BANSAL MD (MANAGING PARTNER)
(281) 592-5400
Entity
Organization
Contact information
Practice address
1017 S TRAVIS AVE, CLEVELAND, TX 77327-5152
(281) 592-5400
Mailing address
1017 S TRAVIS AVE, CLEVELAND, TX 77327-5152
(281) 592-5400
(281) 659-9790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2018
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