Organization
WEST HOUSTON SPRING BRANCH RADIOLOGY ASSOC., LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE BOUTROS M.D. (PRESIDENT)
(713) 526-5771
Entity
Organization
Contact information
Practice address
12951 SOUTH FREEWAY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Mailing address
12951 SOUTH FREEWAY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5525
MEDICARE RAILROAD
TX
Enumeration date
06/02/2006
Last updated
11/07/2007
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