Organization
360 AUDIO AND VISION
Active
Organization
360 AUDIO AND VISION
Active
Other names
Houston Tens
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR COLLINS FONTENOT L.M.R.T. (X-RAY TECH)
(832) 715-2823
Entity
Organization
Contact information
Practice address
12400 SHADOW CREEK PKWY APT 1308, PEARLAND, TX 77584-7354
(832) 715-2823
Mailing address
12400 SHADOW CREEK PKWY APT 1308, PEARLAND, TX 77584-7354
(832) 715-2823
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203281
TX
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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