Organization
HUNTSVILLE WOMENS CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK KANADY M.D. (MEDICAL DIRECTOR)
(936) 439-4828
Entity
Organization
Contact information
Practice address
123 B MEDICAL PARK LANE, HUNTSVILLE, TX 77340-4981
(936) 439-4828
(936) 439-4833
Mailing address
PO BOX 8399, THE WOODLANDS, TX 77387-8399
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
239294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239294
ACR
TX
01
—
M01208
MAMMOGRAPHY CERTIFICATION
TX
Enumeration date
05/11/2012
Last updated
08/29/2012
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