MEDICARE: ECHOCARDIOGRAM INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2471S1302X	Sonography Radiologic Technologist
2	2471V0105X	Vascular Sonography Radiologic Technologist
3	246XS1301X	Sonography Specialist/Technologist Cardiovascular

General Provider Information

NPI Number	:	1073803805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHOCARDIOGRAM INC

Provider Business Mailing Address
First Line	:	6211 MENOR CREST DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-6913
Country	:	US
Telephone Number	:	713-579-0660
Fax Number	:	713-579-0660

Provider Business Practice Location Address
First Line	:	2000 NORTH LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8124
Country	:	US
Telephone Number	:	713-579-0655
Fax Number	:	713-579-0660

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SHAMA ZAREEN
Credential	:
Telephone Number	:	281-686-9972

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	04/13/2011

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Directions to “ECHOCARDIOGRAM INC ” Practice Location

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