Provider Demographics
NPI:1578721130
Name:ONE STEP DIAGNOSTIC V LLC
Entity Type:Organization
Organization Name:ONE STEP DIAGNOSTIC V LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FARHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-492-2400
Mailing Address - Street 1:4301 CARTER CREEK PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-4485
Mailing Address - Country:US
Mailing Address - Phone:979-260-1400
Mailing Address - Fax:
Practice Address - Street 1:4301 CARTER CREEK PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-4485
Practice Address - Country:US
Practice Address - Phone:979-260-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology