Organization
AE DIAGNOSTICS LLC
Active
Other names
GO Imaging Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIE DELEON (DIRECTOR)
(281) 358-3800
Entity
Organization
Contact information
Practice address
23818 HIGHWAY 59 N, KINGWOOD, TX 77339-3954
(281) 358-3800
(281) 358-3910
Mailing address
9802 FM 1960 BYPASS RD W STE 100, HUMBLE, TX 77338-3572
(281) 358-3800
(281) 358-3910
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
06/03/2019
Last updated
02/09/2023
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