Healthcare Provider Details

I. General information

NPI: 1023349123
Provider Name (Legal Business Name): PRUDENT DIAGNOSTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12638 BISSONNET ST STE B
HOUSTON TX
77099-1479
US

IV. Provider business mailing address

12638 BISSONNET ST STE B
HOUSTON TX
77099-1479
US

V. Phone/Fax

Practice location:
  • Phone: 832-667-8132
  • Fax: 281-664-4850
Mailing address:
  • Phone: 832-667-8132
  • Fax: 281-664-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RAHUL DHAWAN
Title or Position: CEO
Credential:
Phone: 832-667-8132