Organization
FANNIN ST IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA CANTU (ADMINISTRATIVE ASSISTANNT)
(713) 664-1330
Entity
Organization
Contact information
Practice address
2616 S LOOP W, 170, HOUSTON, TX 77054-2662
(713) 665-6767
(713) 666-2300
Mailing address
2525 W BELLFORT ST, 120, HOUSTON, TX 77054-5000
(713) 664-1330
(713) 664-0327
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
04/20/2008
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