MEDICARE: FALCON IMAGING CENTER

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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1255663324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCON IMAGING CENTER

Provider Business Mailing Address
First Line	:	5030 N 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2832
Country	:	US
Telephone Number	:	956-668-0702
Fax Number	:	956-627-3751

Provider Business Practice Location Address
First Line	:	5030 N 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2832
Country	:	US
Telephone Number	:	956-668-0702
Fax Number	:	956-627-3751

Authorized Official
Title or Position	:	OWNER
Name	:	JOE DAVID GARZA
Credential	:
Telephone Number	:	956-668-0702

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	02/01/2010

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