Organization
LONDON SURGICAL SERVICES,LLC
Active
Other names
London Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
LEANA L BASCO-CLARK LSA (LICENSED SURGICAL ASSISTANT)
(281) 620-4242
Entity
Organization
Contact information
Practice address
8841 MP CLARK RD, CONROE, TX 77304-5355
(281) 620-4242
Mailing address
8841 MP CLARK RD, CONROE, TX 77304-5355
(281) 620-4242
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00406
TX
Other
Enumeration date
06/08/2017
Last updated
07/12/2024
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