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Contact Information

MEMORIAL MRI & DIAGNOSTIC, LLC
8800 KATY FWY STE 105
HOUSTON, TX77024-1645
 Phone: 713-461-3399
 Fax: 713-461-1969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Radiology

2085N0904X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

In Vivo & In Vitro Nuclear Medicine

207UN0903X 36 Physician/Nuclear Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for MEMORIAL MRI DIAGNOSTIC LLC · (Female)

NPI # 1447341797
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2006
Last updated 07/26/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # L05997
  • TX Medicaid 153985002
  • TX Other 0203DC BLUE CROSS, BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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