Organization
CONROE TOMBALL RADIOLOGISTS PA
Active
Other names
LONESTAR RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
VIREN J BALSARA M.D. (RADIOLOGIST)
(281) 359-7788
Entity
Organization
Contact information
Practice address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
(281) 359-7788
(281) 359-7888
Mailing address
800 ROCKMEAD DR STE 210, KINGWOOD, TX 77339-2113
(281) 359-7788
(281) 359-7888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127270001
—
TX
05
—
127270003
—
TX
Enumeration date
10/22/2007
Last updated
09/24/2008
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