Healthcare Provider Details

I. General information

NPI: 1073803805
Provider Name (Legal Business Name): ECHOCARDIOGRAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NORTH LOOP W
HOUSTON TX
77018-8124
US

IV. Provider business mailing address

6211 MENOR CREST DR
SPRING TX
77388-6913
US

V. Phone/Fax

Practice location:
  • Phone: 713-579-0655
  • Fax: 713-579-0660
Mailing address:
  • Phone: 713-579-0660
  • Fax: 713-579-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAMA ZAREEN
Title or Position: MANAGER
Credential:
Phone: 281-686-9972