Organization
SOUTHLOOP MRI CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BALAT (MANAGED CARE DIRECTOR)
(713) 664-1330
Entity
Organization
Contact information
Practice address
8305 KNIGHT RD, SUITE CT-1, HOUSTON, TX 77054-3905
(713) 665-6767
(713) 666-2300
Mailing address
PO BOX 2569, STAFFORD, TX 77497-2569
(713) 664-1330
(713) 664-3355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84965501
—
TX
Enumeration date
04/15/2009
Last updated
05/15/2009
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