Organization Active NPI

Mammosafe, LLC

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1225462518
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MAMMOSAFE, LLC
Practice address
2100 West Loop S Ste 900
Houston, TX 77027-3522
Phone
(713) 590-3641
NPI assigned
Aug 22, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Dr. Daniel Richard Roubein, M.D.NPI 1164427498
Title
President and Ceo
Phone
(713) 256-0761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2100 West Loop S Ste 900
Houston, TX 77027-3522

Mailing address

2100 West Loop S Ste 900
Houston, TX 77027-3522
Phone (713) 590-3641

National Provider Directory

National Provider Directory

Locations

5300 N Braeswood Blvd
#4400
Houston, TX 77096
Phone (832) 975-7825

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": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1225462518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273522",
            "telephone_number": "713-590-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273522",
            "telephone_number": "713-590-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMOSAFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "ROUBEIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "713-256-0761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.