Provider Demographics
NPI:1174779557
Name:DEERBROOK DIAGNOSTIC & IMAGING CENTER LLC
Entity type:Organization
Organization Name:DEERBROOK DIAGNOSTIC & IMAGING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-882-6742
Mailing Address - Street 1:8901 FM 1960 RD W
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4125
Mailing Address - Country:US
Mailing Address - Phone:832-882-6742
Mailing Address - Fax:281-664-3382
Practice Address - Street 1:8901 FM 1960 RD W
Practice Address - Street 2:SUITE 104
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4125
Practice Address - Country:US
Practice Address - Phone:832-882-6742
Practice Address - Fax:281-664-3382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-17
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty