Provider Demographics
NPI:1073566196
Name:E PLUS PET IMAGING VII LP
Entity Type:Organization
Organization Name:E PLUS PET IMAGING VII LP
Other - Org Name:PET IMAGING OF HOUSTON - WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY OF MANAGING ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:EYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7400
Mailing Address - Street 1:925 GESSNER RD
Mailing Address - Street 2:2ND FLOOR POB IV SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2545
Mailing Address - Country:US
Mailing Address - Phone:713-973-2115
Mailing Address - Fax:713-973-2119
Practice Address - Street 1:925 GESSNER RD
Practice Address - Street 2:2ND FLOOR POB IV SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2545
Practice Address - Country:US
Practice Address - Phone:713-973-2115
Practice Address - Fax:713-973-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0408DCOtherBLUE CROSS/BLUE SHIELD
P00146333OtherRRMEDICARE
FTN023Medicare ID - Type Unspecified