Lake Breeze Surgical Affiliates, Pa

NPI 1073647228 - Clinic/Center - 261QA1903X

NPI Details
NPI 1073647228
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 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
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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.