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NPI Code Detail

MEDICARE: MRI CENTERS OF TEXAS LLC-PRESTON SERIES

MEDICARE: MRI CENTERS OF TEXAS LLC-PRESTON SERIES
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
1261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R30811OTHERTXCERTIFICATE OF X-RAY REGRISTRATION

General Provider Information

NPI Number : 1497191852
Entity Type Code : Organization
Provider Name (Legal Business Name) : MRI CENTERS OF TEXAS LLC-PRESTON SERIES
Provider Business Mailing Address
First Line : PO BOX 224852
Second Line :
City : DALLAS
State : TX
Zip : 75222-4852
Country : US
Telephone Number : 817-226-1800
Fax Number : 817-226-1802
Provider Business Practice Location Address
First Line : 12800 PRESTON RD
Second Line : SUITE 120
City : DALLAS
State : TX
Zip : 75230-1365
Country : US
Telephone Number : 817-226-1800
Fax Number : 817-226-1802
Authorized Official
Title or Position : PARTNER
Name : MS. ARDELLE K ARCHER
Credential :
Telephone Number : 972-498-1963
Provider Enumeration Date : 05/13/2013
Last Update Date : 01/13/2017

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Directions to “MRI CENTERS OF TEXAS LLC-PRESTON SERIES ” Practice Location

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