Organization
IDEAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MARKS M.D. (DIRECTOR)
(713) 663-7246
Entity
Organization
Contact information
Practice address
2626 S LOOP W, SUITE 600, HOUSTON, TX 77054-2654
(713) 663-7246
(281) 569-4619
Mailing address
2626 S LOOP W, SUITE 600, HOUSTON, TX 77054-2654
(713) 663-7246
(281) 569-4619
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
J3719
TX
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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