Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Oct 15, 2021
License(s)
48332 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3838 N BRAESWOOD BLVD APT 409 | Houston, TX 77025-3051 | |
| LOCATION | 6411 FANNIN ST | Houston, TX 77030-1501 | 713-857-8995 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.