Provider Demographics
NPI:1558669044
Name:ONE STEP DIAGNOSTIC IV LP
Entity type:Organization
Organization Name:ONE STEP DIAGNOSTIC IV LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FUAD
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHINWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-461-7272
Mailing Address - Street 1:10190 KATY FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5236
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2121 WILLIAMS TRACE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4526
Practice Address - Country:US
Practice Address - Phone:281-313-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile