MEDICARE: NETWORK EMERGENCY RADIOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician		TX

General Provider Information

NPI Number	:	1346585825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NETWORK EMERGENCY RADIOLOGY PLLC

Provider Business Mailing Address
First Line	:	46 N WOODED BROOK CIR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4524 RESEARCH FOREST DR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77381-4237
Country	:	US
Telephone Number	:	281-719-0363
Fax Number	:	281-719-5163

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD A PERCHES
Credential	:	M.D.
Telephone Number	:	281-719-0363

Provider Enumeration Date	:	12/10/2012
Last Update Date	:	12/10/2012

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