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Organization
CY-FAIR OPEN MRI
Active
Organization
CY-FAIR OPEN MRI
Active
Other names
Fallbrook Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
OHILDA MARIA STERLING (COO)
(281) 681-8040
Entity
Organization
Contact information
Practice address
11770 FM 1960 WEST, HOUSTON, TX 77065
(281) 894-4000
(281) 894-6056
Mailing address
PO BOX 8165, THE WOODLANDS, TX 77387
(281) 681-8040
(281) 296-0093
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004DC
BC BS
TX
05
—
1095655-01
—
TX
05
—
109565501
—
TX
01
—
2024680
AETNA
TX
01
—
353038100
US DEPT OF LABOR
TX
01
—
4325571
CIGNA
TX
Enumeration date
06/14/2005
Last updated
01/07/2009
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