BAY AREA LASER SKIN CARE AND WELLNESS CENTER
Physician Assistant in Houston, TX

License number
Texas L6264
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Texas K2109
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Texas L6264
Category
Medical Practice
Type
Pediatrics
License number
Texas PA01230
Category
Nursing
Type
Physician Assistant
Owner
Name: DR. ERIC ROBERSON MD
Title: CO-DIRECTOR
Phone: (832) 868-9313
Address
Address 2
1203 WEST Bay Area Blvd., Houston, TX 77598
2925-B Gulf Fwy SOUTH #386, League City, TX 77573
National Provider ID: 1316072929
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BAY AREA LASER SKIN CARE AND WELLNESS CENTER, PA

San Leon, TX  -  League City, TX

Status:
Inactive
Doing business as:
Bay Area Laser Skin Care and Wellness Center, PA
Registration:
Sep 2, 2006
Addresses:
315 Hughes Rd, Dickinson, TX 77539 (Mailing)
2012 Lk Lndg Dr, League City, TX 77573
State ID:
0800702634
Business type:
Professional Association
Director , Member , Co-Presidents:
Eric D. Roberson Director , Member , Co-President, inactive,Stephen K. Antwi Director , Member , Co-President, inactive
Agent:
Stephen Antwi,2012 Lk Lndg Dr, League City, TX 77573 (Physical)
TIN:
12056416055

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