Provider Demographics
NPI:1043598022
Name:HGI MEDICAL IMAGING CORP
Entity Type:Organization
Organization Name:HGI MEDICAL IMAGING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RESTITUTO
Authorized Official - Middle Name:E
Authorized Official - Last Name:BALUYOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-781-8855
Mailing Address - Street 1:6666 HARWIN DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2292
Mailing Address - Country:US
Mailing Address - Phone:713-781-8855
Mailing Address - Fax:713-781-8861
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:SUITE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2292
Practice Address - Country:US
Practice Address - Phone:713-781-8855
Practice Address - Fax:713-781-8861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE69902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE6990OtherE6990