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General NPI Number Information
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NPI Number | 1548076052
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Entity Type | Organization
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Legal Business Name | TEXAS IMAGING PARTNERS, LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 4903 GOLDEN QUAIL STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1585
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Country | US
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Telephone | 210-996-2996
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Fax | 210-688-8461
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Provider Business Mailing Address
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Address Line | 3206 4TH ST
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City | LONGVIEW
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State | TX
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Zip | 75605-5143
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Country | US
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Telephone | 603-663-4800
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Fax | 903-663-9960
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Authorized Official
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Title or Position | CEO
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Name | MR. KERRY MICHAEL O'CONNELL
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Credential |
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Telephone | 210-842-1534
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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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