Provider Demographics
NPI:1699052472
Name:SUGAR LAND IMAGING
Entity type:Organization
Organization Name:SUGAR LAND IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AIJAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-605-3284
Mailing Address - Street 1:8700 COMMERCE PARK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7431
Mailing Address - Country:US
Mailing Address - Phone:281-459-0810
Mailing Address - Fax:281-862-7124
Practice Address - Street 1:8700 COMMERCE PARK DR STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7431
Practice Address - Country:US
Practice Address - Phone:281-459-0810
Practice Address - Fax:281-862-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile