Provider profile · NPI 1972639219

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Radiology, Diagnostic Radiology · Humble, TX · NPI 1972639219 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Radiology, Diagnostic Radiology

Enumerated

Feb 23, 2007

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING2111 WILSON BLVD #700 PENN COMPANIESArlington, VA 22201-3001703-524-0400
LOCATION9802 FM 1960 BYPASS RD W #110Humble, TX 77338-3501281-446-2514

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