Organization
WASHINGTON AVE DIAGNOSTIC CENTER
Active
Organization
WASHINGTON AVE DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME BONILLA (ADM)
(713) 802-9188
Entity
Organization
Contact information
Practice address
2510 WASHINGTON AVE, HOUSTON, TX 77007-6021
(713) 802-9188
(713) 802-2278
Mailing address
2510 WASHINGTON AVE, HOUSTON, TX 77007-6021
(713) 802-9188
(713) 802-2278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10580
TX
261Q00000X
Clinic/Center
Primary
0J63X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091859103
—
TX
Enumeration date
08/31/2006
Last updated
06/03/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up