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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