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NPI Code Detail

MEDICARE: SOUTHWEST MRI LP

MEDICARE: SOUTHWEST MRI LP
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1467436105
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST MRI LP
Provider Business Mailing Address
First Line : PO BOX 8126
Second Line :
City : SPRING
State : TX
Zip : 77387-8126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1211 HIGHWAY 6
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4940
Country : US
Telephone Number : 713-432-1100
Fax Number : 713-432-0221
Authorized Official
Title or Position : AUTHORIZED REP
Name : DR. JUDSON H SNOW, JR.
Credential :
Telephone Number : 713-432-1100
Provider Enumeration Date : 12/06/2005
Last Update Date : 08/01/2007

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Directions to “SOUTHWEST MRI LP ” Practice Location

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