Provider Demographics
NPI:1568295095
Name:ONE STEP DIAGNOSTIC XII LP
Entity type:Organization
Organization Name:ONE STEP DIAGNOSTIC XII 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 1:11221 KATY FWY STE 201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2105
Mailing Address - Country:US
Mailing Address - Phone:713-461-7272
Mailing Address - Fax:713-461-7274
Practice Address - Street 1:1650 W BAKER RD STE B
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2284
Practice Address - Country:US
Practice Address - Phone:713-461-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology