1447376652 NPI number — NORTH HOUSTON X-RAY,INC

Table of content: (NPI 1447376652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447376652 NPI number — NORTH HOUSTON X-RAY,INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH HOUSTON X-RAY,INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTH HOUSTON X-RAY & IMAGING CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447376652
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
411 W PARKER RD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77091-3202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-692-1133
Provider Business Mailing Address Fax Number:
713-692-2299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 W PARKER RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77091-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-692-1133
Provider Business Practice Location Address Fax Number:
713-692-2299
Provider Enumeration Date:
03/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALEXANDER
Authorized Official First Name:
SAJI
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-692-1133

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5628701 . This is a "FIRST HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 100206100302 . This is a "UNITED HEALTHCARE OF TEXA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1582165-02 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1582165-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158216503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7112881 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0336DC . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10012875 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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