Provider Demographics
NPI:1336462969
Name:LITTLE YORK MEDICAL DIAGNOSTIC CENTER, PLLC
Entity Type:Organization
Organization Name:LITTLE YORK MEDICAL DIAGNOSTIC CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:COTROPIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-942-9900
Mailing Address - Street 1:1117 POST OAK PARK DR APT F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9215
Mailing Address - Country:US
Mailing Address - Phone:979-492-3591
Mailing Address - Fax:
Practice Address - Street 1:511 W LITTLE YORK RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2421
Practice Address - Country:US
Practice Address - Phone:713-742-9900
Practice Address - Fax:305-832-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6543261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF6543OtherMEDICAL LICENSE