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NPI 1275780843

NPI 1275780843 : MRI SOUTHWEST CENTER : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1275780843
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    Entity Type          |    Organization 
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    Legal Business Name  |    MRI SOUTHWEST CENTER 
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Dates
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    Enumeration Date     |    08/26/2008
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    Last Update Date     |    08/26/2008
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Provider Practice Location Address
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    Address Line         |    6430 HILLCROFT ST SUITE 100L
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77081-3191
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    Country              |    US
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    Telephone            |    713-459-6383
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    Fax                  |    713-541-2228
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Provider Business Mailing Address
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    Address Line         |    6430 HILLCROFT ST SUITE 100L
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77081-3191
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    Country              |    US
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    Telephone            |    713-459-6383
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    Fax                  |    713-541-2228
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     TONY VE NGUYEN 
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    Credential           |    
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    Telephone            |    713-459-6383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0200X
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    Taxonomy Name        |    Radiology Clinic/Center
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    License Number       |    
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    License Number State |    
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