Basic Information
| Provider Information | |||||||||
| NPI: | 1376702464 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RADIOLOGY IMAGING ASSOCIATES, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7010 CHAMPIONS PLAZA DR STE 300 | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770692394 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8326985320 | ||||||||
| FaxNumber: | 2816985631 | ||||||||
| Practice Location | |||||||||
| Address1: | 9201 PINECROFT DR | ||||||||
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| City: | SHENANDOAH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773803222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812977613 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2008 | ||||||||
| LastUpdateDate: | 04/09/2019 | ||||||||
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| AuthorizedOfficialLastName: | COLEMAN | ||||||||
| AuthorizedOfficialFirstName: | KRISTIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2818806991 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.