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General NPI Number Information
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NPI Number | 1295949220
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Entity Type | Individual
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Provider Name | HOUSTON MICHAEL AARON II M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 500 J CLYDE MORRIS BLVD RIVERSIDE REGIONAL MEDICAL CENTER
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1929
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Country | US
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Telephone | 757-612-6999
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Fax | 757-750-3664
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Provider Business Mailing Address
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Address Line | P O BOX 12087 PENINSULA RADIOLOGICAL ASSOCIATES
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City | NEWPORT NEWS
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State | VA
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Zip | 23612-2087
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Country | US
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Telephone | 757-867-6101
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Fax | 757-750-3664
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | EMC0005197
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M6990
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101265992
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 21276
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License Number State | ND
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