Healthcare Provider Details

I. General information

NPI: 1942839527
Provider Name (Legal Business Name): ALLIANCE MRI MONTGOMERY COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9851 FM 1097 RD W
WILLIS TX
77318-4937
US

IV. Provider business mailing address

9821 KATY FWY STE 715
HOUSTON TX
77024-1205
US

V. Phone/Fax

Practice location:
  • Phone: 713-955-5705
  • Fax:
Mailing address:
  • Phone: 713-955-5705
  • Fax: 832-500-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NANCY BERTMEYER
Title or Position: DIRECTOR
Credential:
Phone: 281-936-0369