MEDICARE: BREEZE MRI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1023606951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREEZE MRI

Provider Business Mailing Address
First Line	:	9400 WESTHEIMER RD STE 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3468
Country	:	US
Telephone Number	:	832-844-1234
Fax Number	:	832-827-7299

Provider Business Practice Location Address
First Line	:	9400 WESTHEIMER RD STE 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3468
Country	:	US
Telephone Number	:	832-844-1234
Fax Number	:	832-827-7299

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	VICKI FERRIAS
Credential	:
Telephone Number	:	888-347-2461

Provider Enumeration Date	:	01/06/2021
Last Update Date	:	01/06/2021

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Directions to “BREEZE MRI ” Practice Location

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