MEDICARE: DIAGNOS, 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	261QM2500X	Medical Specialty Clinic/Center	N/A

General Provider Information

NPI Number	:	1811941214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOS, INC.

Provider Business Mailing Address
First Line	:	2000 NORTH LOOP W
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77018-8124
Country	:	US
Telephone Number	:	713-579-0655
Fax Number	:	713-579-0660

Provider Business Practice Location Address
First Line	:	2000 NORTH LOOP W
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77018-8124
Country	:	US
Telephone Number	:	713-579-0655
Fax Number	:	713-579-0660

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HERBERT H. PRATT
Credential	:
Telephone Number	:	713-579-0655

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/22/2020

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