Fannin St Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FANNIN ST IMAGING

Practice address

2616 S Loop W
170
Houston, TX 77054-2662

Phone

(713) 665-6767

Fax

(713) 666-2300

NPI assigned

Aug 13, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sylvia Cantu

Title

Administrative Assistannt

Phone

(713) 664-1330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1811189079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BELLFORT ST",
            "address_2": "120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545000",
            "telephone_number": "713-664-1330",
            "fax_number": "713-664-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S LOOP W",
            "address_2": "170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542662",
            "telephone_number": "713-665-6767",
            "fax_number": "713-666-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN ST IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANNT",
        "authorized_official_telephone_number": "713-664-1330"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.