MEDICARE: X-RAY MOBILE TEXAS 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	293D00000X	Physiological Laboratory
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1029DC	OTHER	TX	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831509736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	X-RAY MOBILE TEXAS INC

Provider Business Mailing Address
First Line	:	PO BOX 1555
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77487-1555
Country	:	US
Telephone Number	:	979-258-6610
Fax Number	:	888-730-1830

Provider Business Practice Location Address
First Line	:	12615 W AIRPORT BLVD STE 600
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6206
Country	:	US
Telephone Number	:	979-258-6610
Fax Number	:	888-730-1830

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICK TRUAX
Credential	:
Telephone Number	:	979-258-6610

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	03/23/2026

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Directions to “X-RAY MOBILE TEXAS INC ” Practice Location

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