# ATHENA IMAGING

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

## Provider details

- **NPI number:** 1588167845
- **Authorized official:** YESENIA CORDOVA (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (832) 835-3008

## Contact information

- **Practice address:** 3391 WESTPARK DR, HOUSTON, TX 77005-4262
- **Practice address phone:** (832) 835-3008
- **Practice address fax:** (713) 574-8698
- **Mailing address:** PO BOX 16006, SUGAR LAND, TX 77496-6006

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2018
- **Last updated:** 03/13/2018