NPIMap

Organization Active NPI

Conroe Tomball Radiologists PA

Doing business as Lonestar Radiology

  • Diagnostic Radiology Physician
  • Humble, TX
National Provider Identifier
1407045826
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CONROE TOMBALL RADIOLOGISTS PA
Doing business as
Lonestar Radiology
Practice address
18951 N Memorial Dr
Humble, TX 77338-4217
Phone
(281) 359-7788
Fax
(281) 359-7888
NPI assigned
Oct 22, 2007
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Viren J Balsara, M.D.
Title
Radiologist
Phone
(281) 359-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

18951 N Memorial Dr
Humble, TX 77338-4217

Mailing address

800 Rockmead Dr Ste 210
Kingwood, TX 77339-2113
Phone (281) 359-7788

Other identifiers 2

IdentifierTypeStateIssuer
127270003MedicaidTX
127270001MedicaidTX

Other names 1

  • LONESTAR RADIOLOGY Doing business as

National Provider Directory

National Provider Directory

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1407045826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR STE 210",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392113",
            "telephone_number": "281-359-7788",
            "fax_number": "281-359-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-359-7788",
            "fax_number": "281-359-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE TOMBALL RADIOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BALSARA",
        "authorized_official_first_name": "VIREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "281-359-7788",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127270003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127270001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONESTAR RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2008; 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.