Provider Demographics
NPI:1730508219
Name:PATIENTCARE DIAGNOSTIC SERVICES
Entity type:Organization
Organization Name:PATIENTCARE DIAGNOSTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-657-5301
Mailing Address - Street 1:10998 S WILCREST DR STE 272
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-3596
Mailing Address - Country:US
Mailing Address - Phone:832-657-5301
Mailing Address - Fax:713-234-7936
Practice Address - Street 1:10998 S WILCREST DR STE 272
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-3596
Practice Address - Country:US
Practice Address - Phone:832-657-5301
Practice Address - Fax:713-234-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty