Provider Demographics
NPI:1467998385
Name:J.C. RADIOLOGY CONSULTANTS, PLLC.
Entity Type:Organization
Organization Name:J.C. RADIOLOGY CONSULTANTS, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELL
Authorized Official - Middle Name:C
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:713-999-3104
Mailing Address - Street 1:9000 SOUTHWEST FWY STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1520
Mailing Address - Country:US
Mailing Address - Phone:713-999-3104
Mailing Address - Fax:832-487-1758
Practice Address - Street 1:9000 SOUTHWEST FWY STE 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1520
Practice Address - Country:US
Practice Address - Phone:713-999-3104
Practice Address - Fax:832-487-1758
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHPLUS IMAGING OF TEXAS LLC-OPEN MRI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111NR0200X, 261QR0200X
TXP12112085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty