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NPI Code Detail

MEDICARE: BASILEIA GROUP, INC

MEDICARE: BASILEIA GROUP, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies25684TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215236351
Entity Type Code : Organization
Provider Name (Legal Business Name) : BASILEIA GROUP, INC
Provider Business Mailing Address
First Line : 1102 PINEMONT DR STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77018-1323
Country : US
Telephone Number : 713-263-7680
Fax Number : 713-263-7685
Provider Business Practice Location Address
First Line : 1102 PINEMONT DR STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77018-1323
Country : US
Telephone Number : 713-263-7680
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : DR. CARLOS HEATH
Credential : PHARM.D
Telephone Number : 713-263-7680
Provider Enumeration Date : 03/15/2011
Last Update Date : 01/06/2021

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Directions to “BASILEIA GROUP, INC ” Practice Location

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