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NPI Code Detail

MEDICARE: PINEY WOODS RADIOLOGY, PLLC

MEDICARE: PINEY WOODS RADIOLOGY, PLLC
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1154691442
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINEY WOODS RADIOLOGY, PLLC
Provider Business Mailing Address
First Line : 2306 RAYFORD RD
Second Line :
City : SPRING
State : TX
Zip : 77386-1707
Country : US
Telephone Number : 281-453-7777
Fax Number :
Provider Business Practice Location Address
First Line : 16750 RED OAK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2543
Country : US
Telephone Number : 281-453-7999
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DR. HUONG LE
Credential : MD
Telephone Number : 281-453-7777
Provider Enumeration Date : 01/04/2012
Last Update Date : 10/22/2024

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