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General NPI Number Information
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NPI Number | 1376492736
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Entity Type | Organization
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Legal Business Name | PARKER COUNTY IMAGING CENTER LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1701 MARTIN DR
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City | WEATHERFORD
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State | TX
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Zip | 76086
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Country | US
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Telephone | 817-658-4357
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 717
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City | WEATHERFORD
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State | TX
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Zip | 76086-0717
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Country | US
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Telephone | 817-658-4357
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | NICK GASCA
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Credential |
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Telephone | 817-658-4357
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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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