AMELITA LOURDES P. BASA, MD, PLLC
Ambulatory Health at Wednesbury Ln, Houston, TX

License number
Texas K9486
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. AMELITA LOURDES PATRICIO BASA M.D.
Title: PHYSICIAN
Phone: (713) 667-4413
Address
Address
8200 Wednesbury Ln, Houston, TX 77074
National Provider ID: 1619275690
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AMELITA LOURDES P. BASA, MD, PLLC

2340 Sheridan St, Houston, TX 77030

Industry:
Medical Doctor's Office
Registration:
Jan 19, 2011
State ID:
0801372214
Business type:
Domestic Limited Liability Company (LLC)
Director, Presidents:
Amelita P Basa (Director), 2340 Sheridan St, Houston, TX 77030,Amelita Lourdes Patricio Basa (Director, President)
Agent:
Amelita Lourdes P. Basa,2340 Sheridan St, Houston, TX 77030 (Physical)
TIN:
32043425910

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