| NPI Details | |
|---|---|
| NPI | 1073647228 |
| Enumeration Date | 03/16/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JODIE R JODIE |
| Position | BUSINESS OFFICE COORDINATOR |
| Phone | (713) 355-8600 |
| Fax | (713) 355-8069 |
| Practice Location | |
|---|---|
| 4120 SOUTHWEST FWY 200 HOUSTON TX, 77027-7339, US |
|
| Phone | (713) 355-8600 |
| Fax | (713) 355-8069 |
| Business Location | |
|---|---|
| PO BOX 1759 DEPT 721 HOUSTON TX, 77251-1759, US |
|
| Phone | (713) 355-8600 |
| Fax | (713) 355-8069 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QA1903X |
| License State | |
| License Number | |
| Remove 1073647228 NPI Number | |
According to our database, Lake Breeze Surgical Affiliates, Pa NPI is 1073647228, taxonomy code is 261QA1903X Lake Breeze Surgical Affiliates, Pa physically located at 4120 Southwest Fwy, Houston TX, 77027-7339. NPI Number 1033115704 has the healthcare provider type.
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1073647228 NPI number is provided on an as is basis without warranty of any kind. 1073647228 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Breeze Surgical Affiliates, Pa are for informational purposes only.
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