| NPI | 1790298388 |
|---|---|
| Other Name | BAS HOUSE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | LUCY CATALA VP Of Finance, West Region CFO 817-922-1957 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |