MEDICARE: ONE STEP DIAGNOSTIC IV LP

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	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1558669044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE STEP DIAGNOSTIC IV LP

Provider Business Mailing Address
First Line	:	10190 KATY FWY
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77043-5236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 WILLIAMS TRACE BLVD
Second Line	:	SUITE 100
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4526
Country	:	US
Telephone Number	:	281-313-1414
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	FUAD COCHINWALA
Credential	:
Telephone Number	:	713-461-7272

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	03/07/2011

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Directions to “ONE STEP DIAGNOSTIC IV LP ” Practice Location

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