MEDICARE: TEXAS MRI PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1114443983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS MRI PARTNERS LLC

Provider Business Mailing Address
First Line	:	3720 20TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1208
Country	:	US
Telephone Number	:	806-792-6736
Fax Number	:

Provider Business Practice Location Address
First Line	:	17482 NORTHWEST FWY
Second Line	:
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77040-1024
Country	:	US
Telephone Number	:	713-856-5955
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ROBERT S NEIDERT
Credential	:
Telephone Number	:	713-922-7247

Provider Enumeration Date	:	08/14/2017
Last Update Date	:	08/14/2017

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Directions to “TEXAS MRI PARTNERS LLC ” Practice Location

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