Healthcare Provider Details

I. General information

NPI: 1649704255
Provider Name (Legal Business Name): CYNTHIA PALOMO GARCIA CNMT/RSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 SOUTHWEST FWY SUITE 155
HOUSTON TX
77074-1510
US

IV. Provider business mailing address

PO BOX 7311416
DALLAS TX
75373-1416
US

V. Phone/Fax

Practice location:
  • Phone: 713-244-5179
  • Fax: 832-383-6962
Mailing address:
  • Phone: 713-244-5179
  • Fax: 832-383-6962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License NumberGMR00099803
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: