Interventional Radiology of Texas LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

INTERVENTIONAL RADIOLOGY OF TEXAS LLC

Practice address

910 N Highway 146 Frontage
Baytown, TX 77520

Phone

(678) 687-8393

Fax

(281) 837-7573

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Maulik Pancholi

Title

Director

Phone

(678) 687-8393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1194504076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146 FRONTAGE",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77520",
            "telephone_number": "678-687-8393",
            "fax_number": "281-837-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146 FRONTAGE",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77520",
            "telephone_number": "678-687-8393",
            "fax_number": "281-837-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL RADIOLOGY OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "PANCHOLI",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-687-8393"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Baytown, TX
• Providers in Baytown, TX by specialty
• Rehabilitation Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.