| NPI | 1114693199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NGUYEN MANEEVESE Owner 713-504-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |