MEDICARE: STX IMAGING AND SERVICES 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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1508687153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STX IMAGING AND SERVICES LLC

Provider Business Mailing Address
First Line	:	64 THORNHILL TRL
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-4337
Country	:	US
Telephone Number	:	956-371-7118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 CENTRAL BLVD STE B
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-7532
Country	:	US
Telephone Number	:	956-371-7118
Fax Number	:

Authorized Official
Title or Position	:	IMAGING DIRECTOR
Name	:	MRS. JOSEPHINE GONZALEZ
Credential	:	RDMS
Telephone Number	:	956-371-7118

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	12/12/2025

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Directions to “STX IMAGING AND SERVICES LLC ” Practice Location

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