MEDICARE: TEXAS IMAGING SERVICES OF EL PASO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1053588137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS IMAGING SERVICES OF EL PASO

Provider Business Mailing Address
First Line	:	1626 MEDICAL CENTER ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5010
Country	:	US
Telephone Number	:	915-533-9185
Fax Number	:	915-533-9349

Provider Business Practice Location Address
First Line	:	1626 MEDICAL CENTER ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5010
Country	:	US
Telephone Number	:	915-533-9185
Fax Number	:	915-533-9349

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	DANIEL J. SCHAEFER
Credential	:
Telephone Number	:	770-300-0101

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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Directions to “TEXAS IMAGING SERVICES OF EL PASO ” Practice Location

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