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General NPI Number Information
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NPI Number | 1316174097
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Entity Type | Organization
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Legal Business Name | MISSOURI CITY MRI CENTER LLC
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 7110 HIGHWAY 6 STE F
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4199
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Country | US
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Telephone | 956-533-2961
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Fax | 956-968-7331
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Provider Business Mailing Address
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Address Line | P.O. BOX 17898
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City | SUGARLAND
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State | TX
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Zip | 77496-7898
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Country | US
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Telephone | 956-533-2961
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Fax | 956-968-7331
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Authorized Official
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Title or Position | OWNER
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Name | RAFATH QURAISHI
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Credential | M.D.
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Telephone | 956-973-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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