Aetna "Select Provider" Listing - High-Tech Radiology Houston - January, PET Imaging of Sugar Land

Aetna "Select Provider" Listing - High-Tech Radiology TEXAS BRAZORIA COUNTY Angleton Brazoria County CT, Inc. 9427845, 3484237 2760 Brazos Pkwy., Suite C Angleton, TX 77515 Phone: 979-849-5700 / Fax: 979-849-5787 Svcs: CT Brazoria County Imaging Center, LLC 700 North Front Street, Suite B Angleton, TX 77515 Phone: 806-792-6736 / Fax: 806-792-6743 9216290, 2733437 Brazoria County Imaging on Brazos 2760 Brazos Pkwy., Suite B Angleton, TX 77515 Phone: 979-849-5700 / Fax: 979-849-5787 9336837, 4624356 Lake Jackson Lake Jackson Imaging Center, L.P. 217 Oak Drive South, Suite A Lake Jackson, TX 77566 Phone: 979-297-2800 / Fax: 979-297-4947 7062907, 5102863 Pearland Pearland MRI Pearland and Imaging Center 7296643, 2302366 8633 Broadway Street, Suite 109 Pearland, TX 77584 Phone: 281-412-3916 / Fax: 281-485-5712 CHAMBERS COUNTY Anahuac Bayside Community Hospital & Clinic 6540170, 791648 Bayside Community Hospital 200 Hospital Drive Anahuac, TX 77514 Phone: 409-267-3143 FORT BEND COUNTY Sugar Land Fort Bend Imaging, Inc. 8546090, 7030238 14835 Southwest Frwy. Phone: 281-242-5800 / Fax: 281-242-0089, OMR, CNM, CT, PET Global Imaging, LP 11211 Hwy. 6 South, Suite B Phone: 281-313-1700 / Fax: 281-313-1705 9601091, 9353088 PET Imaging of Sugar Land 17320 West Grand Pkwy. South, Suite A Sugar Land, TX 77479 Phone: 832-595-2713 / Fax: 832-595-2714 Svcs: CT, PET 7834687, 8742159 Upright MRI of Sugar Land, LLP 2655 Cordes Drive, Suite 150 Sugar Land, TX 77479 Phone: 281-494-0505 / Fax: 281-494-2776 7770736, 8532538 GALVESTON COUNTY Dickinson Fairmont Diagnostic Center & Open MRI 5011705, 8903217 2401 FM 646 West Dickinson, TX 77539 Phone: 281-534-3700 / Fax: 281-534-2842 Texas City A1 Imaging of Texas City 9300 East Emmett Lowery Expwy., Suite 148 Texas City, TX 77591 Phone: 409-316-0577 / Fax: 409-316-0150 7320646, 4682077 HARRIS COUNTY Baytown Baytown Imaging and Diagnostic Center 7261972, 3442855 4310A Garth Road Baytown, TX 77521 Phone: 281-422-9900 / Fax: 281-422-9910 Jacinto MRI and Diagnostic Center 2800 Garth Road Baytown, TX 77521 Phone: 281-427-3700, CNM, CT 4568086, 60915 Pars MRI, P.A. 1010 West Baker Road, Suite 101 Baytown, TX 77521 Phone: 281-427-5555 / Fax: 281-422-7769 8540988, 9051790 Bellaire Nuclear Imaging of Texas Nuclear Imaging of Texas 5420 West Loop South, Suite 1700 Bellaire, TX 77401 Svcs: CNM 5098313, 6672911 Houston A1 Imaging of Houston 17482 Northwest Frwy. Houston, TX 77040 Phone: 713-856-5955 / Fax: 713-856-7107 7821521, 7981990 Advanced Diagnostic 8305 Knight Road Phone: 713-790-0407 / Fax: 713-797-5502, CNM, CT 4555208, 2521679 Bellaire Diagnostic Imaging, LLC 9440 Bellaire Blvd., Suite 100 Houston, TX 77036 Phone: 832-239-8538 / Fax: 713-772-8032, OMR, CNM, CT 7402860, 7682913 Champions MRI and Diagnostic Center 14405 Walters Road, Suite A Houston, TX 77014 Phone: 281-397-6700 / Fax: 281-397-0099 8541396, 66477 Cypress-Fairbanks Medical Center 10655 Steepletop Drive Phone: 281-890-4285, CNM, CT, PET 6541415, 161022 Clarus Imaging Center 7354713, 2933340 Clairus Imaging Center 9901 Town Park Drive Houston, TX 77036 Phone: 713-773-0556 / Fax: 713-773-1388 Diagnostic MRI 11375 West Sam Houston Pkwy., Suite 150 Houston, TX 77031 Phone: 281-879-6800 / Fax: 281-879-5994 7863065, 1571170 Diagnostic MRI Central 2256 West Holcombe Blvd. Phone: 713-349-8585 / Fax: 713-349-8583 7241570, 9312274 Diagnostic Radiology of Houston 5438545, 1204099 2600 Gessner Drive, Suite 150 Houston, TX 77080 Phone: 713-460-9008 / Fax: 713-460-9008, OMR 5438545, 1823777 5630 East Sam Houston Pkwy. North Houston, TX 77015 Phone: 713-425-8100 / Fax: 713-425-8182 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 1 of 4

Aetna "Select Provider" Listing - High-Tech Radiology East Side Imaging, Inc. 10912 East Frwy. Houston, TX 77029 Phone: 713-451-2900 / Fax: 713-451-2103, CNM, CT, PET 4468778, 7190235 Excel Diagnostics, LTD 9701 Richmond Avenue, Suite 122 Houston, TX 77042 Svcs: CNM, PET 7625502, 4152017 Gulf Coast MRI and Diagnostics 1051 Pineloch Drive, Suite 175 Houston, TX 77062 Phone: 281-488-7226, CNM, CT, PET 5066065, 670146 Heights Diagnostic Imaging Center, Inc 427 West 20th Street, Suite 401 Houston, TX 77008 Phone: 713-869-6296 / Fax: 713-869-5612 5095180, 227820 Houston Medical Imaging 5572660, 9671047 3303 Audley Street Houston, TX 77098 Phone: 713-797-1919 / Fax: 713-383-9933, CNM, CT, PET 5572660, 4612054 3310 Richmond Avenue Houston, TX 77098 Phone: 713-797-1919 / Fax: 713-383-9933, OMR, CNM, CT, PET 5572660, 8053598 9180 Katy Freeway, Suite 100 Phone: 713-797-1919 / Fax: 713-383-9933, CNM, CT, PET Houston MRI & Diagnostic Center 12853 Gulf Frwy. Houston, TX 77034 Phone: 281-464-8200 / Fax: 281-464-4343 9686692, 7860172 Houston Northwest Medical Center 710 FM 1960 West Phone: 281-440-1000, CNM, CT, PET 6541440, 4100137 I. Imaging, P.A. 7857432, 3571765 837 FM 1960 West, Suite 108 Phone: 281-453-7999 / Fax: 281-453-1179 Main Imaging Center, Inc. 10021 South Main Street, Suite B5 Phone: 713-660-6117 / Fax: 713-660-6118 9375341, 7033500 Memorial MRI and Diagnostic, LLC 7831305, 6863386 1241 Campbell Road Phone: 713-461-3399 / Fax: 713-461-1969, CNM, CT 7831305, 303254 1346 Campbell Road Phone: 713-461-3399 / Fax: 713-461-1969, CNM, CT MRI Central Houston 3301 South Shepherd Drive Houston, TX 77098 Phone: 713-874-0111 / Fax: 713-874-0555 7144946, 1451490 Normandy MRI & Diagnostic Center 12747 East Frwy. Houston, TX 77015 Phone: 281-453-3144 / Fax: 713-453-4939 5954730, 8541269 North Houston Xray, Inc. 411 West Parker Road, Suite A Houston, TX 77091 Phone: 713-692-1133 / Fax: 713-692-2299 7118221, 1854177 NWDC Diagnostic Imaging 1140 Cypress Station Drive Phone: 281-440-5300 / Fax: 281-292-1409, CNM, CT 7427669, 2472060 One Step Diagnostic II Inc. 7227 Fannin Street, Suite 102 Phone: 713-795-9200 / Fax: 713-795-9201 7757864, 9011069 One Step Diagnostic, Inc. 17320 Red Oak Drive, Suite 100 Phone: 832-249-9300 / Fax: 832-249-9225, OMR, CNM, CT 7967773, 5181472 Park Plaza Hospital and Medical Center 6541515, 161042 1313 Hermann Drive Houston, TX 77004 Phone: 713-527-5000, CNM, CT, PET PET Imaging of Houston LLC 9948291, 5303979 7043481, 8013141 2493 South Braeswood Blvd., Suite A Phone: 832-200-2828 / Fax: 832-200-2829 Svcs: PET PET Imaging of Willowbrook 13300 Hargrave Road, Suite 130 Houston, TX 77070 Phone: 832-237-3900 / Fax: 832-237-3902 Svcs: CT, PET 7694766, 4152655 Rice Nuclear Diagnostics, LP 1414 South Loop West, Suite 120 Phone: 713-796-2752 / Fax: 713-796-2750, PET 7756665, 214720 Scarsdale Imaging, Inc. 11034 Scarsdale Blvd., Suite A Houston, TX 77089 Phone: 713-948-0600 / Fax: 716-948-0608 9799106, 7313093 South Loop MRI, LP 8540627, 9022700 2616 South Loop West, Suite 170A Phone: 713-665-6767 / Fax: 713-666-2300 8540627, 8843817 Steeplechase Diagnostic, Inc. 10694 Jones Road, Suite 150 Phone: 281-955-0440 / Fax: 281-955-9535, OMR, CNM, CT, PET 8544825, 8550110 Town & Country Open MRI 10929 Katy Frwy. Houston, TX 77079 Phone: 713-465-5845 / Fax: 713-465-5233, OMR 7041041, 1511102 Unicare MRI & Diagnostic Center, LLC 7007 North Frwy., Suite 110 Houston, TX 77076 Phone: 713-691-6700 / Fax: 713-691-6703 7958202, 9331861 Westchase Imaging, LTD 9701 Richmond Avenue, Suite 124 Houston, TX 77042 7165500, 1791992 Woodlake Imaging, L.L.C. 1065 Gessner Drive, Suite 100 Phone: 713-465-6500 / Fax: 713-465-6511 7824433, 1933795 Humble Deerbrook Diagnostic Imaging Center, 8901 FM 1960 Bypass Road West, Suite 104 Humble, TX 77338 Phone: 281-360-4000 / Fax: 281-664-3792 Humble MRI and Diagnostic Center 19007 Hwy. 59, Suite 100 Humble, TX 77338 Phone: 281-446-0111 / Fax: 281-446-0102 8540250, 456719 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 2 of 4

Aetna "Select Provider" Listing - High-Tech Radiology Katy Katy Open MRI 954 South Fry Road Katy, TX 77450 Phone: 281-492-2400 / Fax: 281-492-2427, OMR, CNM, CT, PET 9279112, 5871573 Nassau Bay Upright MRI of Clear Lake, LLC 1202 Nasa Pkwy. Nassau Bay, TX 77058 Phone: 281-335-0505 / Fax: 281-335-0202 7930666, 8192437 Pasadena Gulf Coast MRI and Diagnostics 5233 Fairmont Pkwy., Suite A Pasadena, TX 77505 Phone: 281-991-1674 / Fax: 281-991-3800, OMR, CNM, CT, PET 5066065, 2361947 Spring 2920 Open MRI & Digital Imaging, L.P. 6225 FM 2920, Suite 170 Spring, TX 77379 Phone: 281-257-0404 / Fax: 281-257-0447 7752967, 9023685 Webster Lakeside Open MRI and Diagnostic Center 7768158, 2951696 17360 Hwy. 3 Webster, TX 77598 Phone: 281-338-5575 / Fax: 281-554-8407 Pulse Imaging, Inc. 202 Texas Avenue, Suite 500 Webster, TX 77598 Phone: 281-338-2555 / Fax: 281-338-2111 7200936, 7232948 JEFFERSON COUNTY Beaumont Beaumont MRI, Inc. 7474440, 4161761 3684 College Avenue Phone: 409-833-1400 / Fax: 409-833-8181 Diagnostic Health Beaumont 3220 Medical Center Drive Phone: 409-838-0033 / Fax: 409-838-6723, OMR, CNM, CT, PET 8532396, 575422 HealthSouth Imaging of Beaumont Joint Venture 7858508, 9133844 3220 Medical Center Drive, Suite 100 Center 7424381, 9912248 Phone: 409-838-0033 / Fax: 409-838-6723 The MRI Center, L.L.C. 3980 Dowlen Road Beaumont, TX 77706 Phone: 409-898-1922 / Fax: 409-898-1920 7447658, 2731973 Port Arthur Diagnostic Health Port Arthur 3445 Regional Drive Port Arthur, TX 77642 Phone: 409-626-3680 / Fax: 409-729-2211 5630472, 8800720 Gulf Coast Open MRI Unit, Ltd. 3790 Memorial Blvd. Port Arthur, TX 77640 Phone: 409-985-4000 / Fax: 409-985-2680 7663320, 8651533 LIBERTY COUNTY Liberty Liberty Dayton Regional Medical Center 6541800, 161114 1353 North Travis Street Liberty, TX 77575 Phone: 936-336-7316 / Fax: 936-336-7772 MATAGORDA COUNTY Palacios Palacios Community Medical Center 6542135, 9111578 311 Green Avenue Palacios, TX 77465 Phone: 979-972-2511 Svcs: CT MONTGOMERY COUNTY Conroe Aurum Diagnostic Imaging, LLP 7462594, 5642092 1501 River Pointe Drive, Suite 180 Phone: 936-441-7227 / Fax: 936-756-9729 Conroe MRI - Diagnostic LTD 200 River Pointe Drive, Suite 130 Phone: 936-756-3388 / Fax: 936-756-3630, OMR 7110046, 4143031 Spring The Woodlands Open MRI and Imaging 4800 West Panther Creek Drive, Suite 150 Spring, TX 77381 Phone: 281-367-6736 The Woodlands I. Imaging, P.A. 7857432, 7682941 7857432, 2623509 8850 Six Pines Drive, Suite 190 The Woodlands, TX 77380 Phone: 832-381-3800 / Fax: 281-453-1179 PET Imaging of The Woodlands 3091 College Park Drive, Suite 340 The Woodlands, TX 77384 Phone: 936-271-4060 / Fax: 936-271-4063 Svcs: PET 7584550, 3152003 Woodstead MRI, Inc. 1733 Woodstead Court, Suite 100 The Woodlands, TX 77380 Phone: 281-364-8840 / Fax: 281-298-7309 5896507, 8021500 WHARTON COUNTY El Campo El Campo Memorial Hospital 6540960, 60488 303 Sandy Corner Road El Campo, TX 77437 Phone: 979-543-6251, CNM, CT, PET Wharton Open MRI of Wharton 1307 Hospital Drive Wharton, TX 77488 Phone: 979-532-1749 / Fax: 979-532-7777, OMR 7180239, 9451540 Note(s): These procedures may require preauthorization. Aetna's radiology management vendors may have more current information that will replace the information contained within this List. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 3 of 4

Aetna "Select Provider" Listing - High-Tech Radiology Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider who performs these services but is not accredited at the time of service may not be eligible for payment. Aetna s radiology management vendors will offer alternative accredited providers in accordance with these standards. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 4 of 4

Aetna "Select Provider" Listing - Low-Tech Radiology TEXAS BRAZORIA COUNTY Angleton Brazoria County CT, Inc. 9427845, 3484237 2760 Brazos Pkwy., Suite C Angleton, TX 77515 Phone: 979-849-5700 / Fax: 979-849-5787 Svcs: X Lake Jackson Lake Jackson Imaging Center, L.P. 217 Oak Drive South, Suite A Lake Jackson, TX 77566 Phone: 979-297-2800 / Fax: 979-297-4947 7062907, 5102863 Pearland Pearland MRI Pearland and Imaging Center 7296643, 2302366 8633 Broadway Street, Suite 109 Pearland, TX 77584 Phone: 281-412-3916 / Fax: 281-485-5712 Sound Choices, LLC 3901 East Pear Street Pearland, TX 77581 Phone: 281-485-2201 / Fax: 281-485-0691 Svcs: US 7309169, 7462780 CHAMBERS COUNTY Winnie Winnie Community Hospital 7836317, 2272607 538 Broadway Avenue Winnie, TX 77665 Phone: 409-296-6000 / Fax: 409-296-6326 Svcs: X FORT BEND COUNTY Sugar Land Fort Bend Imaging, Inc. 8546090, 7030238 14835 Southwest Frwy. Phone: 281-242-5800 / Fax: 281-242-0089, S, M Global Imaging, LP 11211 Hwy. 6 South, Suite B Phone: 281-313-1700 / Fax: 281-313-1705, M 9601091, 9353088 Mammography and Ultrasound Specialists 4675279, 7943736 1403 Hwy. 6, Suite 700 Phone: 713-668-7481, M GALVESTON COUNTY Dickinson Fairmont Diagnostic Center & Open MRI 5011705, 8903217 2401 FM 646 West Dickinson, TX 77539 Phone: 281-534-3700 / Fax: 281-534-2842 HARRIS COUNTY Baytown Baytown Imaging and Diagnostic Center 7261972, 3442855 4310A Garth Road Baytown, TX 77521 Phone: 281-422-9900 / Fax: 281-422-9910 Jacinto MRI and Diagnostic Center 2800 Garth Road Baytown, TX 77521 Phone: 281-427-3700, M 4568086, 60915 Pars MRI, P.A. 1010 West Baker Road, Suite 101 Baytown, TX 77521 Phone: 281-427-5555 / Fax: 281-422-7769 8540988, 9051790 Bellaire Nuclear Imaging of Texas Nuclear Imaging of Texas 5420 West Loop South, Suite 1700 Bellaire, TX 77401 5098313, 6672911 The Rose Diagnostic Center 5420 West Loop South, Suite 3300 Bellaire, TX 77401 Phone: 713-668-2996 / Fax: 713-464-5179, M 8550015, 6102579 Houston Advanced Diagnostic 8305 Knight Road Phone: 713-790-0407 / Fax: 713-797-5502 4555208, 2521679 Bellaire Diagnostic Imaging, LLC 9440 Bellaire Blvd., Suite 100 Houston, TX 77036 Phone: 832-239-8538 / Fax: 713-772-8032, BD 7402860, 7682913 Champions MRI and Diagnostic Center 14405 Walters Road, Suite A Houston, TX 77014 Phone: 281-397-6700 / Fax: 281-397-0099 8541396, 66477 Cypress-Fairbanks Medical Center 10655 Steepletop Drive Phone: 281-890-4285, M 6541415, 161022 Diagnos PET CT Imaging 2000 North Loop West, Suite 100 Houston, TX 77018 Phone: 713-579-0655 / Fax: 713-879-0660 7014796, 1052640 Diagnostic MRI 11375 West Sam Houston Pkwy., Suite 150 Houston, TX 77031 Phone: 281-879-6800 / Fax: 281-879-5994 7863065, 1571170 Diagnostic MRI Central 2256 West Holcombe Blvd. Phone: 713-349-8585 / Fax: 713-349-8583 Svcs: X, FL 7241570, 9312274 Diagnostic Radiology of Houston 5438545, 1204099 2600 Gessner Drive, Suite 150 Houston, TX 77080 Phone: 713-460-9008 / Fax: 713-460-9008 5438545, 1823777 5630 East Sam Houston Pkwy. North Houston, TX 77015 Phone: 713-425-8100 / Fax: 713-425-8182 East Side Imaging, Inc. 10912 East Frwy. Houston, TX 77029 Phone: 713-451-2900 / Fax: 713-451-2103, S, M 4468778, 7190235 Excel Diagnostics, LTD 9701 Richmond Avenue, Suite 122 Houston, TX 77042 7625502, 4152017 Gulf Coast MRI and Diagnostics 1051 Pineloch Drive, Suite 175 Houston, TX 77062 Phone: 281-488-7226 5066065, 670146 Heights Diagnostic Imaging Center, Inc 427 West 20th Street, Suite 401 Houston, TX 77008 Phone: 713-869-6296 / Fax: 713-869-5612, M 5095180, 227820 Houston Medical Imaging 3303 Audley Street Houston, TX 77098 Phone: 713-797-1919 / Fax: 713-383-9933, S, M 5572660, 9671047 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 1 of 3

Aetna "Select Provider" Listing - Low-Tech Radiology 5572660, 4612054 3310 Richmond Avenue Houston, TX 77098 Phone: 713-797-1919 / Fax: 713-383-9933, S, BD, M 5572660, 8053598 9180 Katy Freeway, Suite 100 Phone: 713-797-1919 / Fax: 713-383-9933, M Houston MRI & Diagnostic Center 12853 Gulf Frwy. Houston, TX 77034 Phone: 281-464-8200 / Fax: 281-464-4343 9686692, 7860172 Houston Northwest Medical Center 710 FM 1960 West Phone: 281-440-1000, M 6541440, 4100137 I. Imaging, P.A. 837 FM 1960 West, Suite 108 Phone: 281-453-7999 / Fax: 281-453-1179 Svcs: X, FL 7857432, 3571765 Main Imaging Center, Inc. 10021 South Main Street, Suite B5 Phone: 713-660-6117 / Fax: 713-660-6118 9375341, 7033500 Memorial MRI and Diagnostic, LLC 7831305, 6863386 1241 Campbell Road Phone: 713-461-3399 / Fax: 713-461-1969, M 7831305, 303254 1346 Campbell Road Phone: 713-461-3399 / Fax: 713-461-1969, M MRI Central Houston 3301 South Shepherd Drive Houston, TX 77098 Phone: 713-874-0111 / Fax: 713-874-0555 Svcs: X, FL 7144946, 1451490 Normandy MRI & Diagnostic Center 12747 East Frwy. Houston, TX 77015 Phone: 281-453-3144 / Fax: 713-453-4939 5954730, 8541269 North Houston Xray, Inc. 411 West Parker Road, Suite A Houston, TX 77091 Phone: 713-692-1133 / Fax: 713-692-2299 7118221, 1854177 NWDC Diagnostic Imaging 1140 Cypress Station Drive Phone: 281-440-5300 / Fax: 281-292-1409, BD 7427669, 2472060 One Step Diagnostic II Inc. 7227 Fannin Street, Suite 102 Phone: 713-795-9200 / Fax: 713-795-9201 7757864, 9011069 One Step Diagnostic Inc. 17320 Red Oak Drive, Suite 100 Phone: 832-249-9300 / Fax: 832-249-9225 7967773, 5181472 Park Plaza Hospital and Medical Center 1313 Hermann Drive Houston, TX 77004 Phone: 713-527-5000, M 6541515, 161042 Physician Care & Diagnostic Center, LLC 7010619, 9102850 9889 Bellaire Blvd., Suite 134 Houston, TX 77036 Phone: 713-988-0700 / Fax: 713-988-5012 R.I.T.A. Foundation 7591733, 9422217 9701 Richmond Avenue, Suite 120 Houston, TX 77042 Rice Nuclear Diagnostics, LP 7756665, 214720 1414 South Loop West, Suite 120 Phone: 713-796-2752 / Fax: 713-796-2750 Scarsdale Imaging, Inc. 9799106, 7313093 11034 Scarsdale Blvd., Suite A Houston, TX 77089 Phone: 713-948-0600 / Fax: 716-948-0608 Shriners Hospital for Children-Houston TX 9842611, 3283923 6977 Main Street Phone: 713-797-1616 / Fax: 713-797-1029 Svcs: X South Loop MRI, LP 8540627, 9022700 540627, 8843817 2616 South Loop West, Suite 170A Phone: 713-665-6767 / Fax: 713-666-2300 Steeplechase Diagnostic, Inc. 8544825, 8550110 10694 Jones Road, Suite 150 Phone: 281-955-0440 / Fax: 281-955-9535, S, M Texas Mobile Health 8541443, 3912019 16427 Glenshannon Drive Houston, TX 77059 Phone: 281-333-5079 The Breast Center 7966585, 232942 7550 Fannin Street Phone: 713-512-7000 / Fax: 713-512-7561 7966585, 4822536 7900 Fannin Street Phone: 713-512-7000, M The Rose Diagnostic Center 8550015, 6052063 12700 North Featherwood Drive, Suite 260 Houston, TX 77034 Phone: 281-484-4708 / Fax: 281-464-2743, M Town & Country Open MRI 10929 Katy Frwy. Houston, TX 77079 Phone: 713-465-5845 / Fax: 713-465-5233 Unicare MRI & Diagnostic Center, LLC 7007 North Frwy., Suite 110 Houston, TX 77076 Phone: 713-691-6700 / Fax: 713-691-6703, S, M Westchase Imaging, LTD 9701 Richmond Avenue, Suite 124 Houston, TX 77042, M Woman's Imaging Center 7900 Fannin Street Phone: 713-512-7000 / Fax: 713-512-7561, M Woodlake Imaging, L.L.C. 1065 Gessner Drive, Suite 100 Phone: 713-465-6500 / Fax: 713-465-6511 7041041, 1511102 7958202, 9331861 7165500, 1791992 5812532, 4822536 7824433, 1933795 Humble Deerbrook Diagnostic Imaging Center, LLC 9948291, 5303979 8901 FM 1960 Bypass Road West, Suite 104 Humble, TX 77338 Phone: 832-768-0703 / Fax: 713-655-8888 Humble MRI and Diagnostic Center 8540250, 456719 19007 Hwy. 59, Suite 100 Humble, TX 77338 Phone: 281-446-0111 / Fax: 281-446-0102 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 2 of 3

Aetna "Select Provider" Listing - Low-Tech Radiology Katy Katy Open MRI 954 South Fry Road Katy, TX 77450 Phone: 281-492-2400 / Fax: 281-492-2427 9279112, 5871573 Texas Mobile Health 701 South Fry Road, Suite 105 Katy, TX 77450 Phone: 281-333-5079 8541443, 1791234 Nassau Bay Upright MRI of Clear Lake, LLC 1202 Nasa Pkwy. Nassau Bay, TX 77058 Phone: 281-335-0505 / Fax: 281-335-0202 Svcs: X 7930666, 8192437 Pasadena Gulf Coast MRI and Diagnostics 5233 Fairmont Pkwy., Suite A Pasadena, TX 77505 Phone: 281-991-1674 / Fax: 281-991-3800 5066065, 2361947 Spring 2920 Open MRI & Digital Imaging, L.P. 6225 FM 2920, Suite 170 Spring, TX 77379 Phone: 281-257-0404 / Fax: 281-257-0447 7752967, 9023685 Webster Lakeside Open MRI and Diagnostic Center 7768158, 2951696 17360 Hwy. 3 Webster, TX 77598 Phone: 281-338-5575 / Fax: 281-554-8407, BD Pulse Imaging, Inc. 202 Texas Avenue, Suite 500 Webster, TX 77598 Phone: 281-338-2555 / Fax: 281-338-2111 7200936, 7232948 JEFFERSON COUNTY Beaumont Beaumont Bone & Joint Institute 7493739, 353145 3650 Laurel Street Beaumont, TX 77707 Phone: 409-838-0346 Beaumont MRI, Inc. 3684 College Avenue Phone: 409-833-1400 / Fax: 409-833-8181 7474440, 4161761 Diagnostic Health Beaumont 3220 Medical Center Drive Phone: 409-838-0033 / Fax: 409-838-6723, M 8532396, 575422 HealthSouth Imaging of Beaumont Joint Venture 7858508, 9133844 3220 Medical Center Drive, Suite 100 Phone: 409-838-0033 / Fax: 409-838-6723, M The MRI Center, L.L.C. 3980 Dowlen Road Beaumont, TX 77706 Phone: 409-898-1922 / Fax: 409-898-1920 Svcs: X, S 7447658, 2731973 Port Arthur Diagnostic Health Port Arthur 3445 Regional Drive Port Arthur, TX 77642 Phone: 409-626-3680 / Fax: 409-729-2211, M 5630472, 8800720 Gulf Coast Open MRI Unit, Ltd. 3790 Memorial Blvd. Port Arthur, TX 77640 Phone: 409-985-4000 / Fax: 409-985-2680, BD 7663320, 8651533 LIBERTY COUNTY Cleveland Cleveland Regional Medical Center, L.P. 6540580, 405267 300 East Crockett Street Cleveland, TX 77327 Phone: 281-593-1811, M Liberty Liberty Dayton Regional Medical Center 1353 North Travis Street Liberty, TX 77575 Phone: 936-336-7316 / Fax: 936-336-7772 6541800, 161114 MONTGOMERY COUNTY Conroe Aurum Diagnostic Imaging, LLP 7462594, 5642092 1501 River Pointe Drive, Suite 180 Phone: 936-441-7227 / Fax: 936-756-9729 Conroe MRI - Diagnostic LTD 200 River Pointe Drive, Suite 130 Phone: 936-756-3388 / Fax: 936-756-3630, M 7110046, 4143031 Spring The Woodlands Open MRI and Imaging Center 7424381, 9912248 4800 West Panther Creek Drive, Suite 150 Spring, TX 77381 Phone: 281-367-6736 The Woodlands I. Imaging, P.A. 7857432, 7682941 8850 Six Pines Drive, Suite 190 The Woodlands, TX 77380 Phone: 832-381-3800 / Fax: 281-453-1179 7857432, 2623509 Woodstead MRI, Inc. 1733 Woodstead Court, Suite 100 The Woodlands, TX 77380 Phone: 281-364-8840 / Fax: 281-298-7309 Svcs: X, FL 5896507, 8021500 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 3 of 3

Aetna "Select Provider" Listing - Ambulatory Surgery TEXAS BRAZORIA COUNTY Angleton Angleton Danbury Medical Center 6540200, 61180 132 Hospital Drive Angleton, TX 77515 Phone: 979-849-7721 / Fax: 979-849-0581 Brazoria County Surgery Center 2760 Brazos Pkwy. Angleton, TX 77515 Phone: 979-848-5900 / Fax: 979-848-5980 7879823, 3492795 Lake Jackson Brazosport Eye Institute 103 Parking Way Lake Jackson, TX 77566 Phone: 979-297-2961 / Fax: 979-297-2395 5321063, 60710 Houston VAMC 208 South Oak Drive, Suite 700 Lake Jackson, TX 77566 Phone: 713-794-7100 6541600, 3524442 The Endoscopy Center 109 Parking Way Street Lake Jackson, TX 77566 Phone: 979-292-0033 / Fax: 979-292-0488 7354359, 8732200 Pearland St. Luke's Episcopal Hospital SLC ER Center - Pearland 11713 Shadow Creek Pkwy. Pearland, TX 77584 Phone: 713-785-8537 / Fax: 832-355-6182 6541545, 6793410 Sweeny Sweeny Community Hospital 305 North McKinney Street Sweeny, TX 77480 Phone: 979-548-1500 6542560, 2980396 CHAMBERS COUNTY Anahuac Bayside Community Hospital & Clinic 6540170, 791648 Bayside Community Hospital 200 Hospital Drive Anahuac, TX 77514 Phone: 409-267-3143 Winnie Winnie Community Hospital 538 Broadway Avenue Winnie, TX 77665 Phone: 409-296-6000 / Fax: 409-296-6326 7836317, 2272607 COLORADO COUNTY Columbus Columbus Community Hospital 6540600, 160838 110 Shult Drive Columbus, TX 78934 Phone: 979-732-2372 / Fax: 979-732-9242 Eagle Lake Rice Medical Center 600 South Austin Road Eagle Lake, TX 77434 Phone: 979-234-5571 6540915, 160909 FORT BEND COUNTY Richmond Houston VAMC 6541600, 1513678 22001 Southwest Frwy., Suite 200 Richmond, TX 77469 Phone: 713-794-7100 Sugar Land St. Luke's Sugar Land Hospital 1317 Lake Pointe Pkwy. Phone: 281-637-7000 / Fax: 281-637-7938 9212175, 7953302 Sugar Land Ambulatory Surgery Cntr - HCA Affiliate 7779823, 3772583 15300 Southwest Frwy., Suite 100 Phone: 281-274-6670 / Fax: 281-274-8244 Sugar Land Surgical Hospital 1211 Hwy. 6, Suite 70 Phone: 281-243-1000 7456415, 2451718 GALVESTON COUNTY Galveston Houston VAMC 6541600, 8181158 3828 Avenue North Galveston, TX 77550 Phone: 409-741-0256 Shriners Hospital for Children- Galveston TX 9596651, 1033996 815 Market Street Galveston, TX 77550 Phone: 409-770-6600 / Fax: 409-770-6977 University of Texas Medical Branch at Galveston 6541185, 258527 301 University Blvd. Galveston, TX 77555 Phone: 409-772-1011 GRIMES COUNTY Navasota Grimes St. Joseph Health Center 4301247, 9590227 210 South Judson Street Navasota, TX 77868 Phone: 936-825-6585 HARRIS COUNTY Houston Advanced Laser Vision & Surgical Institute 7254680, 3572237 11550 Fuqua Street, Suite 250 Houston, TX 77034 Phone: 281-669-3605 / Fax: 281-669-3615 Bay Area Endoscopy Center, LC 444 FM 1959 Road, Suite B Houston, TX 77034 Phone: 281-481-9400 / Fax: 281-481-3977 5790309, 4142065 Baylor College of Medicine Ambulatory Surgery Center 9998358, 7803599 7200 Cambridge Street, BLDG. B, Suite 1 Phone: 713-798-1722 / Fax: 713-798-3383 Ben Taub General Hospital 1504 Taub Loop Phone: 713-873-2000 / Fax: 713-440-1189 6540036, 160696 Caplan Surgery Center 3100 Weslayan Street, Suite 400 Houston, TX 77027 Phone: 713-526-1600 / Fax: 713-526-6520 7048553, 3251954 Children's Memorial Hermann Hospital 6411 Fannin Street Phone: 713-704-4000 5286690, 506632 Cypress-Fairbanks Medical Center 10655 Steepletop Drive Phone: 281-890-4285 6541415, 161022 Doctors Hospital - Tidwell 510 West Tidwell Road Houston, TX 77091 Phone: 713-691-1111 6542940, 161435 East Houston Surgery Center 12950 East Frwy., Suite 100 Houston, TX 77015 Phone: 713-330-3887 5612737, 7111081 Fannin Surgicare - HCA Affiliate 7700 Fannin Street Phone: 713-796-3800 / Fax: 713-796-3805 7422763, 882531 1 of 3

Aetna "Select Provider" Listing - Ambulatory Surgery Gramercy Outpatient Surgery Center - HCA Affiliate 8545565, 9510950 2727 Gramercy Street Phone: 713-660-6900 HEA Surgery Center 2855 Gramercy Street, Suite 100 Phone: 832-553-7171 / Fax: 713-668-6828 9420395, 6203816 Heights Surgery Center, Inc. 427 West 20th Street, Suite 102 Houston, TX 77008 Phone: 713-861-6669 / Fax: 713-861-1410 5399623, 9100764 Houston Northwest Medical Center 710 FM 1960 West Phone: 281-440-1000 6541440, 4100137 Houston VAMC 6541600, 2254405 1418 Preston Street Houston, TX 77002 Phone: 713-794-7100 6541600, 60471 2002 Holcombe Blvd. Phone: 713-794-7100 Lyndon B. Johnson General Hospital 5656 Kelley Street Houston, TX 77026 Phone: 713-566-5000 / Fax: 713-440-1189 6540037, 160697 Mann Cataract Surgery Center 5115 Main Street Houston, TX 77002 Phone: 713-580-2550 / Fax: 713-580-2596 7816185, 2321905 MEC Endoscopy, LLC 1233 Campbell Road Phone: 713-468-9200 / Fax: 713-465-4029 9345769, 4030112 Quentin Mease Community Hospital 3601 North MacGregor Way Houston, TX 77004 Phone: 713-873-3700 / Fax: 713-440-1189 Medical Center Cath Lab 5409487, 5971364 6550 Fannin Street, Suite 333 Texas International Endoscopy Center, Phone: 713-790-5721 / Fax: 713-790-5769 L.P. 7278618, 3792055 6620 Main Street, Suite 1500 Medical Center Endoscopy, LLP 5513685, 7161873 6560 Fannin Street, Suite 600 Phone: 713-520-8432 / Fax: 832-355-6182 Phone: 713-796-0500 / Fax: 713-797-1417 The Diagnostic Heart Center of St. Luke's 7849715, 5642266 Park Plaza Hospital and Medical Center 6541515, 161042 6620 Main Street, Suite 1520 1313 Hermann Drive Houston, TX 77004 Phone: 713-275-2200 / Fax: 713-275-2222 Phone: 713-527-5000 TOPS Surgical Specialty Hospital 4287964, 234039 Physicians Endoscopy Center 7808406, 8302292 17080 Red Oak Drive 3030 South Gessner Road, Suite 150 Houston, TX 77063 Phone: 281-539-2900 Phone: 713-587-0909 / Fax: 713-587-0912 7555551, 8061433 SCA Houston Hospital for Specialized Surgery 4491759, 4250279 5445 LaBranch Street Houston, TX 77004 Phone: 713-528-6800 / Fax: 713-525-7927 Shriners Hospital for Children-Houston TX 9842611, 3283923 6977 Main Street Phone: 713-797-1616 / Fax: 713-797-1029 St. Joseph Medical Center 1401 St. Joseph Pkwy. Houston, TX 77002 Phone: 713-757-1000 / Fax: 713-657-7123 7692781, 901805 St. Luke's Episcopal Hospital 6541545, 9963384 SL Diag & Treat Cnter - Kirby Glen 2457 South Braeswood Blvd. Phone: 713-785-8537 / Fax: 832-355-6182 6541545, 2803435 SLC ER Center - Holcombe 2727 West Holcombe Blvd. Phone: 713-785-8537 / Fax: 832-355-6182 6541545, 5483304 SLC ER Center - San Felipe 5749 San Felipe Street Houston, TX 77057 Phone: 713-785-8537 / Fax: 832-355-6182 6541545, 1280162 6720 Bertner Street Phone: 713-785-8537 / Fax: 832-355-6182 St. Luke's Hospital at The Vintage 20171 Chasewood Park Drive Houston, TX 77070 Phone: 832-534-5000 / Fax: 713-852-2210 9295586, 5953830 Town Park Surgery 9901 Town Park Drive Houston, TX 77036 Phone: 713-773-0556 / Fax: 713-773-1388 7609686, 6692246 United Surgery Center Southeast 12700 North Featherwood Drive, Suite 100 Houston, TX 77034 Phone: 281-481-9303 7734043, 8640995 Woman's Hospital of Texas - HCA Affiliate 6541595, 161058 7600 Fannin Street Phone: 713-790-1234 / Fax: 713-790-0469 Wortham Surgery Center 13114 FM 1960 Road West, Suite 118 Phone: 713-559-9100 / Fax: 713-559-9109 9451622, 8294159 Humble Humble Kingwood Endoscopy Center 19502 Mckay Drive, Suite 101 Humble, TX 77338 Phone: 281-312-6900 / Fax: 281-612-3242 9966832, 1003515 Mann Cataract Surgery Center 18850 South Memorial Drive Humble, TX 77338 Phone: 281-446-7900 / Fax: 281-446-4879 7816185, 517498 Pasadena St. Luke's Patients Medical Center 4600 East Sam Houston Pkwy. South Pasadena, TX 77505 Phone: 713-948-7000 / Fax: 713-948-7081 7951954, 7302888 Tomball Tomball Regional Hospital Authority 605 Holderrieth Blvd. Tomball, TX 77375 Phone: 281-401-7500 / Fax: 281-351-7830 6542665, 6510133 Webster Bay Area Houston Endoscopy Center 1015 Medical Center Blvd., Suite 1200 Webster, TX 77598 Phone: 281-554-3494 / Fax: 281-554-3789 7741862, 7142783 Bay Area Surgicare Center - HCA Affiliate 8547855, 9641271 502 Medical Center Blvd. Webster, TX 77598 Phone: 281-332-2433 / Fax: 281-332-0619 JEFFERSON COUNTY Beaumont Beaumont Bone & Joint Institute 7493739, 353145 3650 Laurel Street Beaumont, TX 77707 Phone: 409-838-0346 2 of 3

Aetna "Select Provider" Listing - Ambulatory Surgery Beaumont Surgical Affiliates, LLC 3560 North College Phone: 409-835-7070 / Fax: 409-835-6111 5561656, 1731362 CHRISTUS St. Elizabeth Hospital 2830 Calder Avenue Beaumont, TX 77702 Phone: 409-899-7171 / Fax: 409-899-8191 6540355, 1261000 Christus St. Elizabeth Outpatient Surg 3050 Liberty Street Beaumont, TX 77702 Phone: 409-835-5355 / Fax: 409-835-6005 7328345, 6900938 Houston VAMC 3420 Veterans Circle Beaumont, TX 77707 Phone: 409-981-8550 6541600, 6011420 The Endoscopy Center of Southeast Texas, LP 5027003, 3562792 950 North 14th Street, Suite 200 Beaumont, TX 77702 Phone: 409-833-5555 Groves Renaissance Hospital - Groves 5500 39th Street Groves, TX 77619 Phone: 409-962-5733 6541315, 160994 LIBERTY COUNTY Cleveland Cleveland Regional Medical Center, L.P. 6540580, 405267 300 East Crockett Street Cleveland, TX 77327 Phone: 281-593-1811 MATAGORDA COUNTY Bay City Matagorda Regional Medical Center 6540320, 3263554 104 7th Street Bay City, TX 77414 Phone: 979-245-6383 MONTGOMERY COUNTY Conroe Conroe Surgery Center 4442433, 6151887 1501 River Pointe Drive, Suite 200 Phone: 936-760-3443 / Fax: 936-760-7322 Houston VAMC 800 Riverwood Court Phone: 936-522-4000 6541600, 8632360 River Oaks Endoscopy 1501 River Pointe Drive, Suite 260 Phone: 936-494-3636 / Fax: 936-494-3635 7494521, 8701902 Shenandoah Woodlands Endoscopy Center 111 Vision Park Blvd., Suite 160 Shenandoah, TX 77384 Phone: 936-321-8910 / Fax: 936-321-8913 7371728, 2612488 The Woodlands St. Luke's Lakeside Hospital, LLC 17400 St. Lukes Way The Woodlands, TX 77384 Phone: 936-266-9000 / Fax: 936-266-9109 9166337, 4973600 St. Luke's The Woodlands Hospital 17200 St. Luke's Way The Woodlands, TX 77384 Phone: 936-266-6000 / Fax: 936-266-4051 7893391, 3121762 WHARTON COUNTY El Campo El Campo Memorial Hospital 6540960, 60488 303 Sandy Corner Road El Campo, TX 77437 Phone: 979-543-6251 Note(s): Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. 3 of 3

TEXAS BRAZORIA COUNTY Pearland Pearland Premier Sleep Study Pearland Premier Sleep Study 9965846, 7294226 2734 Sunrise Blvd., Suite 103 Pearland, TX 77584 Phone: 281-977-2886 / Fax: 281-977-2888 COLORADO COUNTY Columbus Columbus Community Hospital 6540600, 160838 110 Shult Drive Columbus, TX 78934 Phone: 979-732-2372 / Fax: 979-732-9242 FORT BEND COUNTY Stafford Rest Technologies, Inc. 7993380, 6081877 12705 South Kirkwood Road, Suite 200 Stafford, TX 77477 Phone: 281-240-3773 / Fax: 281-240-1164 HARRIS COUNTY Houston Apnix 7417201, 8381714 4003 Bellaire Blvd., Suite F Phone: 713-349-9767 / Fax: 713-349-9634 7417201, 7892087 4003 Bellaire Blvd., Suite B Phone: 713-349-9767 / Fax: 713-349-9634 Conroe Premier Sleep Center 12850 Memorial Drive, Suite 1125 Houston, TX 77024 Phone: 713-467-1341 / Fax: 713-468-4584 9865296, 6523902 Aetna "Select Provider" Listing - Sleep Studies Cypress-Fairbanks Medical Center 10655 Steepletop Drive Phone: 281-890-4285 6541415, 161022 HMS Diagnostics, Inc. 7505 Fannin Street, Suite 420 Phone: 713-383-7900 7150115, 3081427 Houston Northwest Medical Center 710 FM 1960 West Phone: 281-440-1000 6541440, 4100137 I Sleep Diagnostics, L.P. 7315567, 8482095 837 FM 1960 West, Suite 100 Phone: 713-271-7533 / Fax: 713-271-0039 7315567, 7442682 9000 Southwest Freeway, Suite 170 Houston, TX 77074 Phone: 713-271-7533 Park Plaza Hospital and Medical Center 1313 Hermann Drive Houston, TX 77004 L.P. 6541800, 161114 Phone: 713-527-5000 Rest Technologies, Inc. 7993380, 5682814 Sugar Land 2201 West Holcombe Blvd., Suite 325 Sugar Land Cancer Center 7637574, 6171941 Phone: 281-240-3773 / Fax: 281-240-1164 15500 Southwest Frwy. The Houston Sleep Center 7253099, 3842635 Phone: 281-274-8200 / Fax: 281-274-8234 7500 San Felipe Street, Suite 550 Houston, TX 77063 Sugar Land Premier Sleep Center Sugar Phone: 713-827-8896 / Fax: 713-827-8893 Land Premier Sleep Center 9691807, 602117 4660 Sweetwater Blvd., Suite 210 The Sleep Well Center, Inc. 5715512, 9772036 Sugar Land, TX 77479 5200 Mitchelldale Street, Suite E16 Phone: 281-491-0681 / Fax: 281-491-0682 Houston, TX 77092 Phone: 713-688-1161 / Fax: 713-688-1312 6541515, 161042 Katy The Houston Sleep Center 21703 Kingsland Blvd., Suite 101 Katy, TX 77450 Phone: 713-827-8896 / Fax: 713-827-8893 Pasadena The Sleep Well Center, Inc. 5715512, 489480 4301 Vista Road Baylor College of Medicine - Department Pasadena, TX 77504 of Interna l Medicine Phone: 713-688-1161 / Fax: 713-688-1312 9635173, 4143381 10019 South Main Street, Suite A Spring Phone: 713-798-3300 / Fax: 713-798-3303 Northwest Premier Sleep Center 7253099, 3182080 9661753, 4434323 8701 Spring Cypress Road, Suite E Spring, TX 77379 Phone: 281-803-3033 / Fax: 281-803-3035 JEFFERSON COUNTY Beaumont Elite Sleep Solutions 7380468, 7483844 8035 Eastex Freeway, Suite C Beaumont, TX 77708 Phone: 409-892-8303 / Fax: 409-892-8306 7380468, 4894250 Sleep Labs of Texas, Inc. 42 North 11th Street Beaumont, TX 77702 Phone: 409-832-6934 5961099, 2472174 Nederland Southeast Texas Sleep Diagnostics, LLC 1112 North Hwy. 69, Suite A Nederland, TX 77627 Phone: 409-727-5509 / Fax: 409-729-1457 7511529, 5783916 LIBERTY COUNTY Liberty Liberty - Dayton Community Hospital, 1353 North Travis Street Liberty, TX 77575 Phone: 936-336-7316 / Fax: 936-336-7772 MATAGORDA COUNTY Bay City Matagorda Regional Medical Center 6540320, 3263554 104 7th Street Bay City, TX 77414 Phone: 979-245-6383 MONTGOMERY COUNTY Conroe Conroe Premier Sleep Center 9865296, 4823680 2253 North Loop 336 West, Suite B Phone: 936-539-1302 / Fax: 936-539-1304 Montgomery Montgomery Sleep Diagnostic Center, LLC 9234357, 9062704 19782 Hwy. 105 West, Suite 133 Montgomery, TX 77356 Phone: 936-582-2511 / Fax: 936-582-0353 Shenandoah Woodlands Premiere Sleep Center 114 Vision Park, Suite 100 Shenandoah, TX 77384 Phone: 936-321-8900 / Fax: 936-321-1700 9688657, 6263939 1 of 2

Aetna "Select Provider" Listing - Sleep Studies The Woodlands Sleep Diagnostics of Texas, Inc. 4840 West Panther Creek Drive, Suite 101 The Woodlands, TX 77381 Phone: 281-681-2211 / Fax: 281-681-3311 7376413, 9941681 WALKER COUNTY Huntsville Huntsville Sleep Center, LLC 9693163, 4623240 122 Medical Park Lane, Suite B Huntsville, TX 77340 Phone: 936-293-8883 / Fax: 936-293-8773 WHARTON COUNTY Wharton Gulf Coast Medical Center 6542780, 7143429 10141 US 59 Road Wharton, TX 77488 Phone: 979-532-2500 2 of 2