PROVISION IMAGING OF FIRST STREET

BELLAIRE, TX
NPI1619991783
Entity TypeOrganization
Authorized ContactROBERT MATT TRENT
COO
405-842-7768
Organization Subpart ?No
Primary Taxonomy261QR0200X Clinic/Center, Radiology
(Licence: TX  R28949)
Enumeration Date2006-07-26
Last Update Date2020-08-22
Business Address
PROVISION IMAGING OF FIRST STREET
4747 BELLAIRE BLVD SUITE 101
BELLAIRE, TX 77401-4527
Phone number: 713-663-7672
Mailing Address
PROVISION IMAGING OF FIRST STREET
1601 NW EXPRESSWAY SUITE 1300
OKLAHOMA CITY, OK 73118
Phone number: 405-842-7768
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