Organization
NEW LIGHT ENDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPTI BAVISHI MD (OWNER)
(713) 541-0000
Entity
Organization
Contact information
Practice address
7777 SW FWY, STE 544, HOUSTON, TX 77074-1802
(713) 541-0000
Mailing address
PO BOX 669, HUMBLE, TX 77347-0669
(713) 541-0000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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