Provider Demographics
NPI:1982904405
Name:ULTIMATE ULTRASOUND SERVICES
Entity Type:Organization
Organization Name:ULTIMATE ULTRASOUND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-787-7179
Mailing Address - Street 1:2300 MCCUE RD
Mailing Address - Street 2:321
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-4633
Mailing Address - Country:US
Mailing Address - Phone:806-787-7179
Mailing Address - Fax:281-664-5899
Practice Address - Street 1:2300 MCCUE RD
Practice Address - Street 2:321
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4633
Practice Address - Country:US
Practice Address - Phone:806-787-7179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty
No2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional TechnologyGroup - Multi-Specialty