| Discovery Medical Diagnostic Group, Llc | |
|
607 Park Grove Ln Suite B Katy TX 77450-5590 | |
| (281) 944-4701 | |
| (888) 789-4755 |
| Full Name | Discovery Medical Diagnostic Group, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 Park Grove Ln, Katy, Texas |
| Authorized Official Name and Position | Jeremy Cano (PRESIDENT) |
| Authorized Official Contact | 2814774701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery Medical Diagnostic Group, Llc 1029 State Highway 6 North Suite 114 Houston TX 77079 Ph: (281) 477-4701 | Discovery Medical Diagnostic Group, Llc 607 Park Grove Ln Suite B Katy TX 77450-5590 Ph: (281) 944-4701 |
| NPI Number | 1578953014 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 06/19/2019 |
| Medicare PECOS PAC ID | 1557673787 |
|---|---|
| Medicare Enrollment ID | O20150701000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578953014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Babak Rejaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275574220 PECOS PAC ID: 7618945387 Enrollment ID: I20091207000182 |
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