Organization
LAKEVIEW RADIOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOGE B BATENCHUK D.C.DACBR (OWNER)
(218) 881-4578
Entity
Organization
Contact information
Practice address
2714 WHITE FALLS DR, PEARLAND, TX 77584-5588
(281) 881-4578
(713) 436-7556
Mailing address
2714 WHITE FALLS DR, PEARLAND, TX 77584-5588
(281) 881-4578
(713) 436-7556
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
4573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
2952
OH
01
—
LICENSE NUMBER
2301008006
MI
Enumeration date
04/16/2007
Last updated
08/22/2020
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