MEDICARE: FOCUS IMAGING INC

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1376653105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS IMAGING INC

Provider Business Mailing Address
First Line	:	1901 W IRVING BLVD
Second Line	:	SUITE 900
City	:	IRVING
State	:	TX
Zip	:	75061-6823
Country	:	US
Telephone Number	:	972-259-6900
Fax Number	:	972-254-5501

Provider Business Practice Location Address
First Line	:	1901 W IRVING BLVD
Second Line	:	SUITE 900
City	:	IRVING
State	:	TX
Zip	:	75061-6823
Country	:	US
Telephone Number	:	972-259-6900
Fax Number	:	972-254-5501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HECTOR OSCAR MOLINA
Credential	:	MD
Telephone Number	:	214-850-6220

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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