# 360 AUDIO AND VISION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Houston Tens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013252493
- **Authorized official:** VICTOR COLLINS FONTENOT L.M.R.T. (X-RAY TECH)
- **Authorized official phone:** (832) 715-2823

## Contact information

- **Practice address:** 12400 SHADOW CREEK PKWY APT 1308, PEARLAND, TX 77584-7354
- **Practice address phone:** (832) 715-2823
- **Mailing address:** 12400 SHADOW CREEK PKWY APT 1308, PEARLAND, TX 77584-7354
- **Mailing address phone:** (832) 715-2823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 203281 | TX | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012