=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952125361
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAS MRI PARTNERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/12/2024
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2651 JOHN BEN SHEPPERD PKWY STE C4
-----------------------------------------------------
City | ODESSA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79761-1950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-897-1800
-----------------------------------------------------
Fax | 432-224-0244
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2651 JOHN BEN SHEPPERD PKWY STE C4
-----------------------------------------------------
City | ODESSA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79761-1950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-897-1800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | ROBERT S NEIDERT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 806-792-6736
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1200X
-----------------------------------------------------
Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------