Provider Demographics
NPI:1164722625
Name:ADVANCED NUCLEAR CONSULTANTS, LLC
Entity Type:Organization
Organization Name:ADVANCED NUCLEAR CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMIJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-591-7001
Mailing Address - Street 1:16710 HEDGECROFT DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3640
Mailing Address - Country:US
Mailing Address - Phone:281-591-7001
Mailing Address - Fax:866-515-8011
Practice Address - Street 1:16710 HEDGECROFT DR
Practice Address - Street 2:SUITE 106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3640
Practice Address - Country:US
Practice Address - Phone:281-591-7001
Practice Address - Fax:866-515-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile