Provider Demographics
NPI:1497124903
Name:HSRC DIAGNOSTIC SERVICES
Entity Type:Organization
Organization Name:HSRC DIAGNOSTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-922-9440
Mailing Address - Street 1:26218 INTERSTATE 45 N
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1024
Mailing Address - Country:US
Mailing Address - Phone:832-667-8132
Mailing Address - Fax:
Practice Address - Street 1:26218 INTERSTATE 45 N
Practice Address - Street 2:SUITE B
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1024
Practice Address - Country:US
Practice Address - Phone:832-667-8132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology