1184091100 NPI number — ALLIANCE MRI CLEARLAKE

Table of content: (NPI 1184091100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184091100 NPI number — ALLIANCE MRI CLEARLAKE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIANCE MRI CLEARLAKE
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:
Provider Other Organization Name Type Code:
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:
1184091100
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 GESSNER RD
Provider Second Line Business Mailing Address:
SUITE 1225
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-4276
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-468-3842
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17490 HIGHWAY 3
Provider Second Line Business Practice Location Address:
SUITE B-300
Provider Business Practice Location Address City Name:
WEBSTER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77598-4160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-351-4976
Provider Business Practice Location Address Fax Number:
713-263-3534
Provider Enumeration Date:
08/25/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SANFORD
Authorized Official First Name:
JACLYN
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS COORDINATOR
Authorized Official Telephone Number:
832-420-5011

Provider Taxonomy Codes

  • Taxonomy code: 261QM1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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