PROVISION IMAGING OF EAST HOUSTON (NPI# 1689766545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689766545 |
| Entity Type | Organization |
| Organization Name | PROVISION IMAGING OF EAST HOUSTON |
| Practice Address |
11110 East Fwy Houston TX 77029-1914 |
| Mailing Address |
1601 Nw Expressway Suite 1300 Oklahoma City OK 73118 |
| Practice Telephone | 7136376905 |
| Practice Fax Number | 7136376940 |
| Mailing Telephone | 4058427768 |
| Mailing Fax Number | 4058427789 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT MATT TRENT (COO) |
| Authorized Official Telephone | 4058427768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
11110 EAST FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77029-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103744 | Alvaro Rene Garcia | Family Medicine | 11110 East Fwy, Houston, TX 77029-1914 | 2005-06-09 |
| 1619517257 | Lizette Vela | Nurse Practitioner | 11110 East Fwy, Houston, TX 77029-1914 | 2020-01-12 |
| 1407111941 | One Step Diagnostic X Lp | Clinic/Center | 11110 East Fwy, Suite 100a, Houston, TX 77029-1914 | 2012-07-11 |
| 1689810517 | Star Rex Pharmacy LLC | Pharmacy | 11110 East Fwy, 100b, Houston, TX 77029-1914 | 2008-12-23 |
| 1467557231 | Alvaro R Garcia, Md, Pa | Family Medicine | 11110 East Fwy, Houston, TX 77029-1914 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052977 | Cassandra Long Davenport | Technician | 8522 Tilgham St., Houston, TX 77029 | 2019-09-12 |
| 1184937427 | Allstar Pharmacy LLC | Pharmacy | 11410 E. I-10 Freeway Suite 164, Houston, TX 77029 | 2010-07-15 |
| 1619097383 | Todd A Simon | Physical Therapist | 10909 I-10 E Frwy, Houston, TX 77029 | 2007-03-29 |
| 1497810352 | James Andrew Paskow | Family Medicine | 8799 Loop 610 East, Suite 250, Houston, TX 77029 | 2006-12-22 |
| 1659449403 | Ray Anders Denson | Family Medicine | 1414 Holland Ave, Houston, TX 77029 | 2006-12-01 |
| 1396812459 | E Harris County Hospice Services Inc | Hospice Care, Community Based | 1313 Holland Ave, Bldg 2, Houston, TX 77029 | 2006-11-30 |
| 1740363688 | Richard Gary Trifiro | Family Medicine | 8799 North Loop, East, Suite 110, Houston, TX 77029 | 2006-10-23 |
| 1962595512 | Extended Care Ems | Ambulance | 10209 Market St., A, Houston, TX 77029 | 2006-10-02 |
| 1396842910 | Lloyd Curtis James Jr. | Dentist | 918 Mercury, B, Houston, TX 77029 | 2006-09-17 |
| 1568579951 | John J Connell | Chiropractor | 10934 I-10 East Freeway, Houston, TX 77029 | 2006-08-23 |
| Find all providers in zip 77029 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1568011211 | Affordable Ultrasounds At Jones LLC | Clinic/Center | 9720 Jones Rd Ste 130, Houston, TX 77065-4776 | 2019-09-05 |
| 1710436498 | Houston Craniofacial & Sinus Imaging Ll C | Clinic/Center | 9230 Katy Freeway, Suite 600, Houston, TX 77055 | 2016-09-23 |
| 1548626997 | Alliance Mri, LLC | Clinic/Center | 800 Gessner Rd Ste 1225, Houston, TX 77024-4273 | 2016-01-14 |
| 1417346461 | Affordable Ultrasound LLC | Clinic/Center | 9301 Southwest Fwy Ste 150, Houston, TX 77074-1510 | 2015-01-14 |
| 1073919577 | Elite Radiology Pllc. | Clinic/Center | 8811 Westheimer Rd Ste 101, Houston, TX 77063-3600 | 2014-11-10 |
| 1770986648 | Med Center Healthcare Services, Lp | Clinic/Center | 2416 W Holcombe Blvd, Houston, TX 77030-1902 | 2014-10-06 |
| 1407258940 | E&e Diagnostic Medical Imaging and Health Spa, LLC. | Clinic/Center | 5208 Harrisburg Blvd Ste E, Houston, TX 77011-4250 | 2014-09-16 |
| 1922407626 | Drh & Associates, Inc | Clinic/Center | 5630 E Sam Houston Pkwy N, Houston, TX 77015-3249 | 2014-08-19 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.