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NPI Code Detail

MEDICARE: UNIVERSAL RADIOLOGY PARTNERS OF TEXAS PLLC

MEDICARE: UNIVERSAL RADIOLOGY PARTNERS OF TEXAS PLLC
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
12085R0204XVascular & Interventional Radiology Physician
22085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1194683698
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL RADIOLOGY PARTNERS OF TEXAS PLLC
Provider Business Mailing Address
First Line : 2326 S CONGRESS AVE STE 1C
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7652
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 504 LIPSCOMB ST
Second Line :
City : BONHAM
State : TX
Zip : 75418-4028
Country : US
Telephone Number : 903-583-8585
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DANIELA GHIRAGOSSIAN
Credential :
Telephone Number : 561-268-6509
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “UNIVERSAL RADIOLOGY PARTNERS OF TEXAS PLLC ” Practice Location

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