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
Update your record
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