Healthcare Provider Details

I. General information

NPI: 1508882481
Provider Name (Legal Business Name): DAVIS LANDING MRI & IMAGING LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 PHARMACY RD
RIO GRANDE CITY TX
78582-6201
US

IV. Provider business mailing address

2795 PHARMACY RD
RIO GRANDE CITY TX
78582-6201
US

V. Phone/Fax

Practice location:
  • Phone: 956-487-5621
  • Fax: 956-716-8378
Mailing address:
  • Phone: 956-487-5621
  • Fax: 956-716-8378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GAURI KANHERE
Title or Position: OWNER/ADM
Credential: MD
Phone: 956-487-4335