MEDICARE: ACCUCARE ULTRASOUND DIAGNOSTICS INC.

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	2471S1302X	Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1801947296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCUCARE ULTRASOUND DIAGNOSTICS INC.

Provider Business Mailing Address
First Line	:	3902 CHATFIELD CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4101
Country	:	US
Telephone Number	:	281-980-7511
Fax Number	:	281-313-0712

Provider Business Practice Location Address
First Line	:	6220 WESTPARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7371
Country	:	US
Telephone Number	:	281-980-7511
Fax Number	:	281-313-0712

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SOURAYA BASMA BAZZI I
Credential	:	SONOGRAPHER
Telephone Number	:	281-980-7511

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	08/22/2020

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