Organization
E PLUS PET IMAGING XXI LP
Active
Other names
PET Imaging of Willowbrook
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RHYMER (COO OF GENERAL PARTNER)
(615) 467-7415
Entity
Organization
Contact information
Practice address
13300 HARGRAVE RD, SUITE 130, HOUSTON, TX 77070-4373
(832) 327-3900
(832) 327-3902
Mailing address
13300 HARGRAVE RD, SUITE 130, HOUSTON, TX 77070-4373
(832) 327-3900
(832) 327-3902
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0493DC
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
05/18/2006
Last updated
06/16/2010
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