Organization
IMD HEALTHCARE AND IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMARA S GULL M.D. (CEO AND PRESIDENT)
(281) 360-3269
Entity
Organization
Contact information
Practice address
13107 W LAKE HOUSTON PKWY, HOUSTON, TX 77044-5391
(281) 360-3269
Mailing address
7403 KINGS RIVER CT, KINGWOOD, TX 77346-1475
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
K1456
TX
261QM2500X
Medical Specialty Clinic/Center
K1456
TX
261QR0200X
Radiology Clinic/Center
K1456
TX
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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