Provider Demographics
NPI:1649220930
Name:AS DIAGNOSTIC CENTERS OF TEXAS
Entity Type:Organization
Organization Name:AS DIAGNOSTIC CENTERS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-781-0617
Mailing Address - Street 1:6666 HARWIN DR
Mailing Address - Street 2:600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2292
Mailing Address - Country:US
Mailing Address - Phone:713-781-0617
Mailing Address - Fax:713-781-4945
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2292
Practice Address - Country:US
Practice Address - Phone:713-781-0617
Practice Address - Fax:713-781-4945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty