Provider Demographics
NPI:1780622464
Name:OKO MED DOWNTOWN IMAGING CENTER
Entity type:Organization
Organization Name:OKO MED DOWNTOWN IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSTAPHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBIRIGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-655-7226
Mailing Address - Street 1:2101 CRAWFORD ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8942
Mailing Address - Country:US
Mailing Address - Phone:713-655-7226
Mailing Address - Fax:713-655-8888
Practice Address - Street 1:2101 CRAWFORD ST
Practice Address - Street 2:SUITE 115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8942
Practice Address - Country:US
Practice Address - Phone:713-655-7226
Practice Address - Fax:713-655-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty