Provider Demographics
NPI:1912355090
Name:UNITED DIAGNOSTIC LP
Entity Type:Organization
Organization Name:UNITED DIAGNOSTIC LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:361-652-0025
Mailing Address - Street 1:26710 INTERSTATE 45
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1015
Mailing Address - Country:US
Mailing Address - Phone:361-652-0025
Mailing Address - Fax:
Practice Address - Street 1:26710 INTERSTATE 45
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1015
Practice Address - Country:US
Practice Address - Phone:361-652-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-30
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center