Active NPI
Huntsville Womens Center, LP
- Mammography Clinic/Center
- Huntsville, TX
National Provider Identifier
1669731535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- License
- 239294
- Legal business name
- HUNTSVILLE WOMENS CENTER, LP
- Practice address
- 123 B Medical Park Lane
Huntsville, TX 77340-4981 - Phone
- (936) 439-4828
- Fax
- (936) 439-4833
- NPI assigned
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirk Kanady, M.D.
- Title
- Medical Director
- Phone
- (936) 439-4828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | 239294 | TX | Primary |
Addresses
Primary practice location
123 B Medical Park Lane
Huntsville, TX 77340-4981
Mailing address
PO Box 8399
The Woodlands, TX 77387-8399
Phone (281) 364-1707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M01208 | Other | TX | MAMMOGRAPHY CERTIFICATION |
| 239294 | Other | TX | ACR |
National Provider Directory
National Provider DirectoryLocations
123 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 439-4826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1669731535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8399",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773878399",
"telephone_number": "281-364-1707",
"fax_number": "281-364-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 B MEDICAL PARK LANE",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404981",
"telephone_number": "936-439-4828",
"fax_number": "936-439-4833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTSVILLE WOMENS CENTER, LP",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "KANADY",
"authorized_official_first_name": "KIRK",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "936-439-4828",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "TX",
"license": "239294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMMOGRAPHY CERTIFICATION",
"identifier": "M01208",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACR",
"identifier": "239294",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.