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METHODIST RADIOLOGY ASSOCIATES PLLC NPI 1427235704


NPI Information

NPI: 1427235704
Provider Name: METHODIST RADIOLOGY ASSOCIATES, PLLC

Doing Business As: METHODIST BREAST IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 45D1102343

Address:
6550 FANNIN ST
#749
HOUSTON, TX
ZIP 77030
Phone: (713) 441-7465
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METHODIST RADIOLOGY ASSOCIATES, PLLC is a diagnostic radiology radiology in Houston, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. METHODIST RADIOLOGY ASSOCIATES, PLLC NPI is 1427235704. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Methodist Breast Imaging.

The provider's business location address is:

6550 FANNIN ST
#749
HOUSTON, TX
ZIP 77030-717
Phone: (713) 441-7465

The provider's authorized official is Henry Dirk Sostman .
The authorized official title is Evp. Cmo, Cao and has the following contact phone number (713) 441-2192.

The CLIA number assigned to this NPI record is 45D1102343 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 3/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085U0001XRadiologyDiagnostic UltrasoundNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1204540301MEDICAIDTEXAS
2196825701MEDICAIDTEXAS
300Y951MEDICARE PIN
40A3619MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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