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Organization

ATHENA IMAGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YESENIA CORDOVA (AUTHORIZED REPRESENTATIVE)
(832) 835-3008
Entity
Organization

Contact information

Practice address
3391 WESTPARK DR, HOUSTON, TX 77005-4262
(832) 835-3008
(713) 574-8698
Mailing address
PO BOX 16006, SUGAR LAND, TX 77496-6006

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
03/13/2018
Last updated
03/13/2018
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