Organization Active NPI

Deerbrook Diagnostic & Imaging Center LLC

  • Radiologic Technologist
  • Humble, TX
National Provider Identifier
1174779557
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
DEERBROOK DIAGNOSTIC & IMAGING CENTER LLC
Practice address
8901 FM 1960 Rd W
Suite 104
Humble, TX 77338-4125
Phone
(832) 882-6742
Fax
(281) 664-3382
NPI assigned
Aug 17, 2008
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rahul Dhawan
Title
Chief Executive Officer
Phone
(832) 882-6742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

8901 FM 1960 Rd W
Suite 104
Humble, TX 77338-4125

Mailing address

8901 FM 1960 Rd W
Suite 104
Humble, TX 77338-4125
Phone (832) 882-6742

National Provider Directory

National Provider Directory

Locations

8901 FM 1960 Bypass Rd W
Ste 104
Humble, TX 77338
Phone (281) 360-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1174779557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 RD W",
            "address_2": "SUITE 104",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384125",
            "telephone_number": "832-882-6742",
            "fax_number": "281-664-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 RD W",
            "address_2": "SUITE 104",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384125",
            "telephone_number": "832-882-6742",
            "fax_number": "281-664-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERBROOK DIAGNOSTIC & IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-882-6742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.