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Organization

ADVANCED HEALTHCARE PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FAUSKA BASHABE (NURSE PRACTITIONER)
(313) 712-6763
Entity
Organization

Contact information

Practice address
6140 N SAM HOUSTON PKWY W, HOUSTON, TX 77066-5002
(832) 519-8093
(832) 218-3378
Mailing address
7422 SHADY LAKE GRV, RICHMOND, TX 77407-3181
(832) 519-8093
(832) 218-3378

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
09/28/2020
Last updated
03/12/2025
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