Organization
NORTHWEST IMAGING CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA K KOTSIOS (PRACTICE ADMINISTRATOR)
(281) 296-9562
Entity
Organization
Contact information
Practice address
4185 TECHNOLOGY FOREST BLVD, SUITE 100, THE WOODLANDS, TX 77381-2006
(281) 296-9532
(291) 296-9774
Mailing address
4185 TECHNOLOGY FOREST BLVD, SUTIE 120, THE WOODLANDS, TX 77381-2006
(281) 296-9532
(291) 296-9774
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
05/15/2013
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