Provider Demographics
NPI:1164480406
Name:BASIC SOLUTIONS
Entity Type:Organization
Organization Name:BASIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHELETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-333-5079
Mailing Address - Street 1:16427 GLENSHANNON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-6006
Mailing Address - Country:US
Mailing Address - Phone:281-333-5079
Mailing Address - Fax:713-513-5319
Practice Address - Street 1:16427 GLENSHANNON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-6006
Practice Address - Country:US
Practice Address - Phone:281-333-5079
Practice Address - Fax:713-513-5319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN NUMBER