Provider Demographics
NPI:1093954547
Name:NORTH HOUSTON IMAGING CENTER,LTD
Entity Type:Organization
Organization Name:NORTH HOUSTON IMAGING CENTER,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JONN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD,DABR
Authorized Official - Phone:713-861-8188
Mailing Address - Street 1:237 NORTH LOOP W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2245
Mailing Address - Country:US
Mailing Address - Phone:713-861-8188
Mailing Address - Fax:713-862-1733
Practice Address - Street 1:237 NORTH LOOP W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2245
Practice Address - Country:US
Practice Address - Phone:713-861-8188
Practice Address - Fax:713-862-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMDE9766261QM1200X
TXMDG1072261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00DA01OtherMEDICARE PROVIDER NUMBER
TX127736001OtherMEDICAID PROVIDER NUMBER
TX10021743OtherAMERIGROUP PROVIDER NUMBER
TX179847201Medicaid
TX612207OtherMEDICARE PROVIDER NUMBER
TX612207OtherMEDICARE PROVIDER NUMBER
TX179847201Medicaid