# INTEGRATIVE DIAGNOSTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194153205
- **Authorized official:** ANGELA LEVI (MANAGER)
- **Authorized official phone:** (832) 882-9210

## Contact information

- **Practice address:** 800 PEAKWOOD DR STE 8F, HOUSTON, TX 77090-2904
- **Practice address phone:** (832) 882-9210
- **Mailing address:** 800 PEAKWOOD DR STE 8F, HOUSTON, TX 77090-2904
- **Mailing address phone:** (832) 882-9210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | L04253 | TX | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 11/25/2013
