NORTHWEST DIAGNOSTIC CLINIC PA NPI 1700832672

NPI Information

NPI: 1700832672
Provider Name: NORTHWEST DIAGNOSTIC CLINIC, PA

Doing Business As: NWDC DIAGNOSTIC IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2255 E MOSSY OAKS RD STE 500
SPRING, TX
ZIP 77389
Phone: (281) 440-5300
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NORTHWEST DIAGNOSTIC CLINIC, PA is a radiology clinic center in Spring, TX. NORTHWEST DIAGNOSTIC CLINIC, PA NPI is 1700832672. The provider is registered as an organization entity type.
The provider Is Doing Business As Nwdc Diagnostic Imaging.

The provider's business location address is:

2255 E MOSSY OAKS RD STE 500
SPRING, TX
ZIP 77389-813
Phone: (281) 440-5300
Fax: (832) 232-5591

The provider's authorized official is Stephen D Fillman .
The authorized official title is Authorized Official and has the following contact phone number (281) 440-5300.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/21/2022.

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	R25842	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0413DC	OTHER	TEXAS	BCBS OF TEXAS
2	162607902	MEDICAID	TEXAS

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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