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Organization

BASO SURGICAL, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JODIE R ELLIS (BUSINESS OFFICE SUPERVISOR)
(832) 201-5164
Entity
Organization

Contact information

Practice address
9300 KIRBY DR, STE 100, HOUSTON, TX 77054-2530
(832) 201-5164
Mailing address
PO BOX 1759, DEPT 751, HOUSTON, TX 77251-1759
(832) 201-5164

Taxonomy

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

Other

Enumeration date
08/27/2007
Last updated
08/27/2007
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