# HOUSTON CRANIOFACIAL & SINUS IMAGING LL C

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

## Provider details

- **NPI number:** 1710436498
- **Authorized official:** DR. SEAN G BOUTROS MD (OWNER/PROVIDER)
- **Authorized official phone:** (713) 791-0700

## Contact information

- **Practice address:** 9230 KATY FREEWAY, SUITE 600, HOUSTON, TX 77055
- **Practice address phone:** (713) 791-0700
- **Mailing address:** 9230 KATY FREEWAY, SUITE 600, HOUSTON, TX 77055
- **Mailing address phone:** (713) 791-0700

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 09/23/2016