AMELITA LOURDES P. BASA, MD, PLLC


Address: 8200 Wednesbury Ln Ste 380, Houston, TX 77074-2931
Phone: 7132712030

AMELITA LOURDES P. BASA, MD, PLLC (NPI# 1619275690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619275690
Entity Type Organization
Organization Name AMELITA LOURDES P. BASA, MD, PLLC
Practice Address 8200 Wednesbury Ln Ste 380
Houston
TX 77074-2931
Mailing Address 2340 Sheridan St
Houston
TX 77030-2018
Practice Telephone 7132712030
Mailing Telephone 7132712030
Enumeration Date 2011-03-01
Last Update Date 2019-03-19
Authorized Official Name DR. AMELITA LOURDES PATRICIO BASA (PHYSICIAN)
Authorized Official Telephone 7132712030
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
K9486 TX Ambulatory Health Care Facilities

Office Location

Street Address 8200 WEDNESBURY LN STE 380
City HOUSTON
State TX
Zip Code 77074-2931

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City HOUSTON
Zip Code 77074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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