Healthcare Provider Details

I. General information

NPI: 1932010428
Provider Name (Legal Business Name): MRI CENTERS OF TEXAS, LLC- CC SPOHN SERIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 SPOHN DR S
CORPUS CHRISTI TX
78414-4176
US

IV. Provider business mailing address

PO BOX 224852
DALLAS TX
75222-4852
US

V. Phone/Fax

Practice location:
  • Phone: 817-226-1800
  • Fax:
Mailing address:
  • Phone: 817-226-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAQUEL ULLOA
Title or Position: BILLING
Credential:
Phone: 817-226-1800