Organization
DIAGNOSTIC, INTERVENTIONAL AND VASCULAR CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANISA L GUIDRY (DIRECTOR BUSINESS OFFICE)
(713) 795-1152
Entity
Organization
Contact information
Practice address
8305 KNIGHT RD, HOUSTON, TX 77054-3905
(713) 790-1666
(713) 383-4470
Mailing address
PO BOX 301103, HOUSTON, TX 77230-1103
(713) 790-1666
(713) 383-4470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
03/06/2014
Last updated
06/20/2014
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