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Foundation Ancillary Services Affiliates, LLC

Specialist/Technologist, Other, Surgical Technologist in Bellaire, TX. Organization (NPI-2).

NPI number1225252737
StatusActive
Last updated in NPPESAug 5, 2011

Details

NPI
1225252737
Entity type
Organization (NPI-2)
Legal business name
Foundation Ancillary Services Affiliates, LLC
Organization subpart
No
Enumeration date
Apr 13, 2007
Last updated
Aug 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZS0410X Specialist/Technologist, Other, Surgical Technologist––Yes

Practice location

5420 West Loop S
Suite 3100
Bellaire, TX 77401-2107

Phone 713-581-6950 · Fax 713-581-6951

Mailing address

Po Box 3108
Dept 902
Houston, TX 77253-3108

Phone 713-581-6950 · Fax 713-581-6951

Authorized official

Stephanie Denise Victorian
Administrator
7135816950

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