Organization Name: | STERLING IMAGING INC. |
NPI Number: | 1255578308 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLE JEAN BAXTER (PRESIDENT) |
Mailing Address: | 33840 S. Garcia #20 Port Isabel |
State: | TX US |
Postal Code: | 78578 |
Phone Number: | 8326407834 |
Fax Number: | 8662220783 |
NPI Enumeration Date: | 01/12/2009 |
NPI Last Update Date: | 01/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | DC2793TX |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |