Organization
TEXAS LAPAROSCOPIC CONSULTANTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CIOLLI (PROGRAM DIRECTOR)
(713) 493-7700
Entity
Organization
Contact information
Practice address
5115 FANNIN ST., SUITE 950, HOUSTON, TX 77004-5898
(713) 493-7700
(281) 971-4065
Mailing address
5115 FANNIN ST., SUITE 950, HOUSTON, TX 77004-5898
(713) 493-7700
(281) 971-4065
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L3813
TX
208600000X
Surgery Physician
M2217
TX
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74RD
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/08/2008
Last updated
04/19/2022
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