Provider Demographics
NPI:1720194368
Name:GREATER HOUSTON IMAGING, PA
Entity Type:Organization
Organization Name:GREATER HOUSTON IMAGING, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-771-8038
Mailing Address - Street 1:PO BOX 272947
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-2947
Mailing Address - Country:US
Mailing Address - Phone:713-771-8038
Mailing Address - Fax:713-771-5855
Practice Address - Street 1:21720 KINGSLAND BLVD STE 102
Practice Address - Street 2:IMAGING DEPARTMENT
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2551
Practice Address - Country:US
Practice Address - Phone:281-579-5524
Practice Address - Fax:281-579-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00924YMedicare ID - Type UnspecifiedMONTGOMERY CO
TX00200TMedicare ID - Type UnspecifiedHARRIS CO.