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General NPI Number Information
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NPI Number | 1871317156
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Entity Type | Organization
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Legal Business Name | MRI CENTERS OF TEXAS LLC SOUTH AUSTIN SERIES
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2500 W WILLIAM CANNON DR UNIT 205
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City | AUSTIN
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State | TX
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Zip | 78745-5257
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Country | US
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Telephone | 817-226-1800
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Fax | 817-226-1802
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Provider Business Mailing Address
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Address Line | PO BOX 224852
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City | DALLAS
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State | TX
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Zip | 75222-4852
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Country | US
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Telephone | 817-226-1800
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Fax | 817-226-1802
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT SHIELDS
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Credential |
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Telephone | 817-226-1800
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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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