Basic Information
| Provider Information | |||||||||
| NPI: | 1790877355 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOMENS RADIOLOGY ASSOCIATES LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7500 BEECHNUT ST | ||||||||
| Address2: | 239 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770744335 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 7600 FANNIN ST | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770541906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137901234 | ||||||||
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| ProviderEnumerationDate: | 09/29/2006 | ||||||||
| LastUpdateDate: | 08/17/2007 | ||||||||
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| AuthorizedOfficialLastName: | KERR | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7137725212 | ||||||||
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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.