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Organization

MODERN RADIOLOGY ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD THOMAS PORTER M.D. (PRESIDENT/RADIOLOGIST)
(713) 818-7481
Entity
Organization

Contact information

Practice address
1 WATERWAY AVE, SUITE 1303, THE WOODLANDS, TX 77380-3449
(713) 818-7481
(832) 442-5377
Mailing address
1 WATERWAY AVE, SUITE 1303, THE WOODLANDS, TX 77380-3449
(713) 818-7481
(832) 442-5377

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
P1211
TX
2085R0202X
Diagnostic Radiology Physician
Primary
P1211
TX
2085R0204X
Vascular & Interventional Radiology Physician
P1211
TX

Other

Enumeration date
04/18/2012
Last updated
01/16/2019
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