Organization
EXPERT CARE ASSISTANT
Active
Organization
EXPERT CARE ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORBE LUIS BASULTO (CEO)
(786) 556-8819
Entity
Organization
Contact information
Practice address
29310 PRAIRIE ROSE CT, KATY, TX 77494-7384
(786) 556-8819
Mailing address
29310 PRAIRIE ROSE CT, KATY, TX 77494-7384
(786) 556-8819
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
17-657
TX
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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