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NPI Code Detail

MEDICARE: MIDTOWN HOUSTON OPEN MRI CT CORP.

MEDICARE: MIDTOWN HOUSTON OPEN MRI CT CORP.
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
1261QR0200XRadiology Clinic/Center
2261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1124452867
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDTOWN HOUSTON OPEN MRI CT CORP.
Provider Business Mailing Address
First Line : 2715 FANNIN STREET
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77002-9217
Country : US
Telephone Number : 713-650-3300
Fax Number : 713-650-3302
Provider Business Practice Location Address
First Line : 2715 FANNIN ST
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77002-9217
Country : US
Telephone Number : 713-650-3300
Fax Number : 713-650-3302
Authorized Official
Title or Position : PRESIDENT
Name : MR. DO N LUONG
Credential : MR
Telephone Number : 713-650-3300
Provider Enumeration Date : 08/29/2013
Last Update Date : 12/08/2022

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