Organization
LAKE JACKSON IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E BUCK M.D. (MEDICAL DIRECTOR)
(936) 203-5996
Entity
Organization
Contact information
Practice address
217 OAK DRIVE SOUTH SUITE A, LAKE JACKSON, TX 77566
(979) 297-2800
Mailing address
217 OAK DR S, SUITE A, LAKE JACKSON, TX 77566-5675
(979) 297-2800
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Enumeration date
08/11/2006
Last updated
10/16/2008
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