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NPI Code Detail

MEDICARE: MEDICAL IMAGING ASSOCIATES OF AMERICA, PA

MEDICARE: MEDICAL IMAGING ASSOCIATES OF AMERICA, PA
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
2261QR0206XMammography Clinic/Center

General Provider Information

NPI Number : 1790226710
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL IMAGING ASSOCIATES OF AMERICA, PA
Provider Business Mailing Address
First Line : 5037B FM 2920 RD
Second Line :
City : SPRING
State : TX
Zip : 77388-3114
Country : US
Telephone Number : 281-453-7916
Fax Number :
Provider Business Practice Location Address
First Line : 1351 CLEAR LAKE CITY BLVD STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2372
Country : US
Telephone Number : 346-326-2490
Fax Number : 844-656-3680
Authorized Official
Title or Position : MD
Name : MINH NGUYEN
Credential : MD
Telephone Number : 281-453-7232
Provider Enumeration Date : 03/09/2017
Last Update Date : 11/03/2021

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Directions to “MEDICAL IMAGING ASSOCIATES OF AMERICA, PA ” Practice Location

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