Organization
PROVISION IMAGING OF EAST HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MATT TRENT (COO)
(405) 842-7768
Entity
Organization
Contact information
Practice address
11110 EAST FWY, HOUSTON, TX 77029-1914
(713) 637-6905
(713) 637-6940
Mailing address
1601 NW EXPRESSWAY, SUITE 1300, OKLAHOMA CITY, OK 73118
(405) 842-7768
(405) 842-7789
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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