Basaldua & Heller Family Practice
Family Medicine in Humble, TX. Organization (NPI-2).
NPI number1053463596
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1053463596
- Entity type
- Organization (NPI-2)
- Legal business name
- Basaldua & Heller Family Practice
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
22999 Highway 59 NSuite 272
Humble, TX 77339-4412
Phone 281-465-0500
Mailing address
22999 Highway 59 NSuite 272
Humble, TX 77339-4412
Authorized official
Yvonne Zeigman
Supervisor
2814650500
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