Provision Imaging Of First Street in Bellaire - Radiology
Provision Imaging Of First Street - NPI 1619991783
Provision Imaging Of First Street is a Radiology in Bellaire, Texas. Provision Imaging Of First Street practices all healthcare services and medical treatments related to Radiology. The NPI Number for Provision Imaging Of First Street is 1619991783. The last update date is 2020-08-22.
Provision Imaging Of First Street's current location address is 4747 Bellaire Blvd, Bellaire, Texas. You can contact this provider via phone number 7136637672 and fax number 7136637677. The mailing address for Provision Imaging Of First Street is 4747 Bellaire Blvd, Bellaire, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provision Imaging Of First Street |
|---|---|
| Address | 4747 Bellaire Blvd, Bellaire, Texas |
| Phone Number | 7136637672 |
| Fax Number | 7136637677 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Trent Matt Robert |
| Telephone Number | 4058427768 |
NPI Number Detail
| NPI Number | 1619991783 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4747 Bellaire Blvd |
|---|---|
| City | Bellaire |
| State | Texas (TX) |
| Post Code | 774014527 |
| Phone Number | 7136637672 |
| Fax Number | 7136637677 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 261Qr0200X |
| Licence No | R28949 |
|
Definition: Takes images of the body using radiologic techniques to diagnose disease. |
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What is the Provision Imaging Of First Street's unique identification number?
The Provision Imaging Of First Street has been assigned the NPI (National Provider Identifier) Number 1619991783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Provision Imaging Of First Street is located?
The Provision Imaging Of First Street is situated at the following address: 4747 Bellaire Blvd, Bellaire, TX, 774014527.
What is Provision Imaging Of First Street's specialized field of practice, and what is the corresponding taxonomy classification code?
The Provision Imaging Of First Street's area of specialization is Radiology, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0200X.
When did the Provision Imaging Of First Street receive its 1619991783?
The Provision Imaging Of First Street was issued its 1619991783 on 2006-07-26, which is the date when the organization was assigned this unique identifier.
When was the Provision Imaging Of First Street's information last updated?
The Provision Imaging Of First Street's information was last updated on 2020-08-22.
NPI Number: 1215930425
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