MEDICARE: SIGHTLINE OF HOUSTON, LLP

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	:	1417918467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGHTLINE OF HOUSTON, LLP

Provider Business Mailing Address
First Line	:	7311 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3709
Country	:	US
Telephone Number	:	713-795-5010
Fax Number	:	713-795-5081

Provider Business Practice Location Address
First Line	:	7311 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3709
Country	:	US
Telephone Number	:	713-795-5010
Fax Number	:	713-795-5081

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. TJ FARNSWORTH
Credential	:
Telephone Number	:	713-795-5010

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	08/22/2020

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