Organization
ADVANCED X-PRESS X-RAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANISA GUIDRY (REVENUE CYCLE VICE PRESIDENT)
(713) 795-1107
Entity
Organization
Contact information
Practice address
1911 BAGBY ST, HOUSTON, TX 77002-8594
(713) 790-1666
(713) 383-4446
Mailing address
1911 BAGBY ST, HOUSTON, TX 77002-8594
(713) 790-1666
(713) 383-4446
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R47083
ST LICENSE
TX
Enumeration date
03/24/2021
Last updated
03/24/2021
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