Organization
E PET IMAGING XVII, L.P.
Active
Other names
PET Imaging of Houston - Southeast
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY EYLER (SECRETARY OF GENERAL PARTNER)
(615) 467-7408
Entity
Organization
Contact information
Practice address
6021 FAIRMONT PKWY, SUITE 120, PASADENA, TX 77505-4022
(281) 991-4615
(281) 991-4611
Mailing address
6021 FAIRMONT PKWY, SUITE 120, PASADENA, TX 77505-4022
(281) 991-4615
(281) 991-4611
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495DC
BLUE CROSS/BLUE SHIELD
TX
01
—
P00262796
RRMEDICARE
—
Enumeration date
05/18/2006
Last updated
07/21/2022
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