MEDICARE: BORBALA SURANYI

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
1	225700000X	Massage Therapist	MT118622	TX

General Provider Information

NPI Number	:	1255953147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BORBALA SURANYI

Provider Business Mailing Address
First Line	:	902 POST OFFICE ST # UP
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77550-5198
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18201 EGRET BAY BLVD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3388
Country	:	US
Telephone Number	:	409-256-4824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2020
Last Update Date	:	05/13/2020

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Directions to “ BORBALA SURANYI ” Practice Location

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