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Organization

NORTH HOUSTON IMAGING CENTER,LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONN S. LEE M.D.,D.A.B.R. (RADIOLOGIST)
(713) 861-8188
Entity
Organization

Contact information

Practice address
237 NORTH LOOP W, HOUSTON, TX 77008-2245
(713) 861-8188
(713) 862-1733
Mailing address
237 NORTH LOOP W, HOUSTON, TX 77008-2245
(713) 861-8188
(713) 862-1733

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
MDE9766
TX
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
MDG1072
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00DA01
MEDICARE PROVIDER NUMBER
TX
01
10021743
AMERIGROUP PROVIDER NUMBER
TX
01
127736001
MEDICAID PROVIDER NUMBER
TX
05
179847201
TX
01
612207
MEDICARE PROVIDER NUMBER
TX
Enumeration date
02/06/2009
Last updated
02/06/2009
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