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Organization

METHODIST RADIOLOGY ASSOCIATES, PLLC

Active
Parent organization
THE METHODIST HOSPITAL
Other names
Methodist Breast Imaging
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE METHODIST HOSPITAL
Authorized official
DR. HENRY DIRK SOSTMAN M.D. (EVP. CMO, CAO)
(713) 441-2192
Entity
Organization

Contact information

Practice address
6550 FANNIN ST, #749, HOUSTON, TX 77030-2717
(713) 441-7465
Mailing address
6550 FANNIN ST, #749, HOUSTON, TX 77030-2717
(713) 441-7465

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
196825701
TX
05
204540301
TX
Enumeration date
01/29/2008
Last updated
03/30/2010
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