Provider Demographics
NPI:1568011211
Name:AFFORDABLE ULTRASOUNDS AT JONES LLC
Entity Type:Organization
Organization Name:AFFORDABLE ULTRASOUNDS AT JONES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIAGNOSTIC MEDICAL SONOGRAPHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIDYAXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS VT, AB
Authorized Official - Phone:713-828-4400
Mailing Address - Street 1:9720 JONES RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4388
Mailing Address - Country:US
Mailing Address - Phone:832-938-7325
Mailing Address - Fax:832-412-4987
Practice Address - Street 1:9720 JONES RD STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4776
Practice Address - Country:US
Practice Address - Phone:832-938-7325
Practice Address - Fax:832-412-4987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology