Organization
ANCILLARY IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HENRY (ADMINISTRATOR)
(281) 319-4910
Entity
Organization
Contact information
Practice address
1658 W BAKER RD, BAYTOWN, TX 77521-2283
(281) 319-4910
(832) 663-9371
Mailing address
1658 W BAKER RD, BAYTOWN, TX 77521-2283
(281) 319-4910
(832) 663-9371
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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