| NPI | 1972760320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORRIE FATHEREE Biller 713-665-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX e5682) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX E5682) |
| 2085N0700X Radiology, Neuroradiology (Licence: TX E5682) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: TX E5682) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TX E5682) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: TX E5682) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX e5682) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TX e5682) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-06-21 |