Healthcare Provider Details

I. General information

NPI: 1982702197
Provider Name (Legal Business Name): ECHO-TECH UNLIMITED-ULTRA SOUND SCANNING SVCS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 LEDBURY PARK LN
SPRING TX
77379-3669
US

IV. Provider business mailing address

18 LEDBURY PARK LN
SPRING TX
77379-3669
US

V. Phone/Fax

Practice location:
  • Phone: 281-370-6360
  • Fax: 281-655-0192
Mailing address:
  • Phone: 281-370-6360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAY M. MALDONADO
Title or Position: OWNER
Credential: RDCS,RDMS,RVS
Phone: 936-628-2354