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General NPI Number Information
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NPI Number | 1932360021
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Entity Type | Organization
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Legal Business Name | MCALLEN MRI, LLC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 320 N MCCOLL RD STE. E
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City | MCALLEN
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State | TX
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Zip | 78501-9348
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Country | US
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Telephone | 956-687-9636
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Fax | 956-687-9743
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Provider Business Mailing Address
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Address Line | 320 N MCCOLL RD STE. B
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City | MCALLEN
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State | TX
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Zip | 78501-9348
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Country | US
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Telephone | 956-630-3400
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Fax | 956-630-2910
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHAWN DE LA GARZA
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Credential | CEO/COO
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Telephone | 956-630-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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