Healthcare Provider Details

I. General information

NPI: 1629187463
Provider Name (Legal Business Name): CAREY L NASH CNMT,ARRT(N)(BD)
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD
HOUSTON TX
77030-4211
US

IV. Provider business mailing address

9103 PARKETTE DR
HOUSTON TX
77078-3307
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7079
  • Fax:
Mailing address:
  • Phone: 713-635-8099
  • Fax: 713-794-7183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License Number13147
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: