Basic Information
| Provider Information | |||||||||
| NPI: | 1730377128 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RIVER OAKS IMAGING AND DIAGNOSTIC LP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 RICHMOND AVE | ||||||||
| Address2: | #300 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770983102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135126000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 720 AVENUE F N | ||||||||
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| City: | BAY CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774149573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9793239797 | ||||||||
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| ProviderEnumerationDate: | 10/10/2007 | ||||||||
| LastUpdateDate: | 10/10/2007 | ||||||||
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| AuthorizedOfficialLastName: | KING | ||||||||
| AuthorizedOfficialFirstName: | JIM | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7135126000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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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.