Organization
SWEETWATER RADIOLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDSON H. SNOW, JR. M.D. (AUTHORIZED REP)
(713) 481-3533
Entity
Organization
Contact information
Practice address
17500 W GRAND PKWY, SUGAR LAND, TX 77479-2562
(281) 725-5900
Mailing address
PO BOX 200147, HOUSTON, TX 77216-0147
(713) 481-3533
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ5596
RAILROAD MEDICARE
TX
Enumeration date
12/06/2005
Last updated
03/20/2009
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