Provider Demographics
NPI:1720241995
Name:HOUSTON IMAGING ASSOCIATES PA
Entity Type:Organization
Organization Name:HOUSTON IMAGING ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:BURT
Authorized Official - Last Name:SPANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-359-2500
Mailing Address - Street 1:9802 FM 1960 BYPASS WEST
Mailing Address - Street 2:SUITE 245
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3571
Mailing Address - Country:US
Mailing Address - Phone:281-359-2500
Mailing Address - Fax:281-358-0924
Practice Address - Street 1:9802 FM 1960 BYPASS WEST
Practice Address - Street 2:SUITE 245
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3571
Practice Address - Country:US
Practice Address - Phone:281-359-2500
Practice Address - Fax:281-358-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A0184Medicare PIN