Individual
CONNIE ISLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14800 MEMORIAL DR APT 2710, HOUSTON, TX 77079-5221
(832) 758-6101
Mailing address
14800 MEMORIAL DR APT 2710, HOUSTON, TX 77079-5221
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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