Organization
CARDIOVASCULAR IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS JOHN LANDRY (REGISTERED DIAGNOSTIC MEDICAL SONOG)
(409) 898-8007
Entity
Organization
Contact information
Practice address
2955 HARRISON ST, SUITE 105, BEAUMONT, TX 77702-1154
(409) 898-8007
(409) 898-8116
Mailing address
2955 HARRISON ST, SUITE 105, BEAUMONT, TX 77702-1154
(409) 898-8007
(409) 898-8116
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL7029
THIN
TX
05
—
ZFTCUV42
—
TX
Enumeration date
08/18/2006
Last updated
08/22/2020
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