Organization
DIAGNOSTIC MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON BALLARD (CEO)
(303) 252-4363
Entity
Organization
Contact information
Practice address
11375 W. SAM HOUTSON PKWY SOUTH, #150, HOUSTON, TX 77030
(281) 879-6800
(281) 879-5994
Mailing address
11375 W. SAM HOUSTON PKWY S., SUITE 150, HOUSTON, TX 77031-2303
(281) 879-6800
(281) 879-5994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88043701
—
TX
Enumeration date
06/28/2005
Last updated
05/25/2012
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