Organization
POWERHOUSE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BARAJAS (COMPLIANCE OFFICER)
(281) 607-6391
Entity
Organization
Contact information
Practice address
713 S GORDON ST, ALVIN, TX 77511-2863
(281) 607-6391
(832) 917-0660
Mailing address
713 SOUTH GORDON ST, ALVIN, TX 77511-2863
(281) 607-6391
(832) 917-0660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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