Organization
HOUSTON CRANIOFACIAL & SINUS IMAGING LL C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN G BOUTROS MD (OWNER/PROVIDER)
(713) 791-0700
Entity
Organization
Contact information
Practice address
9230 KATY FREEWAY, SUITE 600, HOUSTON, TX 77055
(713) 791-0700
Mailing address
9230 KATY FREEWAY, SUITE 600, HOUSTON, TX 77055
(713) 791-0700
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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