Healthcare Provider Details
I. General information
NPI: 1285050336
Provider Name (Legal Business Name): HORIZON IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2014
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9400 WESTHEIMER RD SUITE 1
HOUSTON TX
77063-3414
US
IV. Provider business mailing address
9400 WESTHEIMER RD SUITE 1
HOUSTON TX
77063-3414
US
V. Phone/Fax
- Phone: 281-292-1121
- Fax:
- Phone: 281-292-1121
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
SAQUIB
SIDDIQUI
Title or Position: OWNER
Credential: MD
Phone: 281-292-1121