# CT MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508463415
- **Authorized official:** YAZOMAM IBEKWE (MANAGER)
- **Authorized official phone:** (214) 435-2374

## Contact information

- **Practice address:** 11901 SHADOW CREEK PKWY STE 111B, PEARLAND, TX 77584-7346
- **Practice address phone:** (214) 435-2374
- **Mailing address:** 1004 CAVERN DR, MESQUITE, TX 75181-4419
- **Mailing address phone:** (214) 435-2374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | NULL | Yes |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | — | Yes |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2020
- **Last updated:** 10/04/2020