Organization
FRONTIER RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS (PRESIDENT)
(512) 659-4467
Entity
Organization
Contact information
Practice address
3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
(512) 659-4467
Mailing address
209 WATERSONG LN, GEORGETOWN, TX 78628-6954
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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