Healthcare Provider Details

I. General information

NPI: 1467520759
Provider Name (Legal Business Name): 2920 OPEN MRI & DIGITAL IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2006
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6225 FM 2920 RD STE 170
SPRING TX
77379-3474
US

IV. Provider business mailing address

6225 FM 2920 RD STE 170
SPRING TX
77379-3474
US

V. Phone/Fax

Practice location:
  • Phone: 281-257-5977
  • Fax: 281-257-5966
Mailing address:
  • Phone: 832-541-3810
  • Fax: 281-257-5966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY A NORTON
Title or Position: OFFICE MANAGER
Credential:
Phone: 832-541-3810