MEDICARE: COMPLETE ALIEF LLC

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1356810733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE ALIEF LLC

Provider Business Mailing Address
First Line	:	3230 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2319
Country	:	US
Telephone Number	:	281-558-1338
Fax Number	:	281-558-1318

Provider Business Practice Location Address
First Line	:	3230 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2319
Country	:	US
Telephone Number	:	281-558-1338
Fax Number	:	281-558-1318

Authorized Official
Title or Position	:	OWNER
Name	:	FATIMA ERAJ
Credential	:
Telephone Number	:	281-558-1338

Provider Enumeration Date	:	11/15/2018
Last Update Date	:	11/30/2018

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Directions to “COMPLETE ALIEF LLC ” Practice Location

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