Provider Demographics
NPI:1851347413
Name:HEARTSCAN OF N.W. HOUSTON, LP
Entity Type:Organization
Organization Name:HEARTSCAN OF N.W. HOUSTON, LP
Other - Org Name:HEARTSCAN OF NW HOUSTON, LP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-237-1117
Mailing Address - Street 1:10902 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6316
Mailing Address - Country:US
Mailing Address - Phone:832-237-1117
Mailing Address - Fax:832-237-1119
Practice Address - Street 1:10902 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6316
Practice Address - Country:US
Practice Address - Phone:832-237-1117
Practice Address - Fax:832-237-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty