# PMG ULTRASOUND

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

## Provider details

- **NPI number:** 1356154199
- **Authorized official:** GABRIEL IANCULOVICI COO (COO)
- **Authorized official phone:** (832) 978-5611

## Contact information

- **Practice address:** 1410 CHANTILLY LN, HOUSTON, TX 77018-4131
- **Practice address phone:** (832) 978-5611
- **Mailing address:** 1410 CHANTILLY LN, HOUSTON, TX 77018-4131
- **Mailing address phone:** (832) 978-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/28/2025