Healthcare Provider Details

I. General information

NPI: 1881074029
Provider Name (Legal Business Name): BIOSENSOR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PEDEN ST
HOUSTON TX
77006-1423
US

IV. Provider business mailing address

11111 RICHMOND AVE SUITE 215
HOUSTON TX
77082-6665
US

V. Phone/Fax

Practice location:
  • Phone: 713-955-4600
  • Fax: 713-904-4641
Mailing address:
  • Phone: 713-955-4600
  • Fax: 713-904-4641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NAM NGUYEN
Title or Position: CEO
Credential:
Phone: 713-955-4600