Organization
LIGHT ENDO SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPTI BAVISHI MD (MANAGER)
(713) 541-0000
Entity
Organization
Contact information
Practice address
7777 SW FWY, STE 544, HOUSTON, TX 77074-1802
(713) 541-0000
(713) 541-0087
Mailing address
7777 SW FWY, STE 544, HOUSTON, TX 77074-1802
(713) 541-0000
(713) 541-0087
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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