# E PET IMAGING XVII, L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PET Imaging of Houston - Southeast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598718835
- **Authorized official:** JERRY EYLER (SECRETARY OF GENERAL PARTNER)
- **Authorized official phone:** (615) 467-7408

## Contact information

- **Practice address:** 6021 FAIRMONT PKWY, SUITE 120, PASADENA, TX 77505-4022
- **Practice address phone:** (281) 991-4615
- **Practice address fax:** (281) 991-4611
- **Mailing address:** 6021 FAIRMONT PKWY, SUITE 120, PASADENA, TX 77505-4022
- **Mailing address phone:** (281) 991-4615
- **Mailing address fax:** (281) 991-4611

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0495DC | BLUE CROSS/BLUE SHIELD | TX |
| 01 | — | P00262796 | RRMEDICARE | — |