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Organization

GULF IMAGING ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization

Contact information

Practice address
11034 SCARSDALE BLVD, SUITE A, HOUSTON, TX 77089-5971
(281) 880-6991
Mailing address
PO BOX 3140, DEPT 925, HOUSTON, TX 77253-3140
(866) 973-1454

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155352101
TX
Enumeration date
07/07/2006
Last updated
07/12/2024
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