Provider Demographics
NPI:1104884345
Name:GREATER HOUSTON RADIOLOGY ASSOCIATES, P.A.
Entity type:Organization
Organization Name:GREATER HOUSTON RADIOLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-627-9729
Mailing Address - Street 1:PO BOX 201042
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-1042
Mailing Address - Country:US
Mailing Address - Phone:713-627-9729
Mailing Address - Fax:
Practice Address - Street 1:3120 SOUTHWEST FWY
Practice Address - Street 2:SUITE 530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4509
Practice Address - Country:US
Practice Address - Phone:713-627-9729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU0128OtherRAILROAD MEDICARE GROUP
TX83084601Medicaid
TX83084601Medicaid