PROVISION IMAGING OF FIRST STREET NPI 1619991783

NPI Information

NPI: 1619991783
Provider Name: PROVISION IMAGING OF FIRST STREET
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4747 BELLAIRE BLVD
SUITE 101
BELLAIRE, TX
ZIP 77401
Phone: (713) 663-7672
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PROVISION IMAGING OF FIRST STREET is a radiology clinic center in Bellaire, TX. PROVISION IMAGING OF FIRST STREET NPI is 1619991783. The provider is registered as an organization entity type.

The provider's business location address is:

4747 BELLAIRE BLVD
SUITE 101
BELLAIRE, TX
ZIP 77401-527
Phone: (713) 663-7672
Fax: (713) 663-7677

The provider's authorized official is Robert Matt Trent .
The authorized official title is Coo and has the following contact phone number (405) 842-7768.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	R28949	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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