MEDICARE: UNIVERSAL MRI & DIAGNOSTICS INC DBA TOWN AND COUNTRY OPENMRI

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	:	1538189931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MRI & DIAGNOSTICS INC DBA TOWN AND COUNTRY OPENMRI

Provider Business Mailing Address
First Line	:	10929 KATY FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2203
Country	:	US
Telephone Number	:	713-465-5845
Fax Number	:	713-465-5233

Provider Business Practice Location Address
First Line	:	10929 KATY FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2203
Country	:	US
Telephone Number	:	713-465-5845
Fax Number	:	713-465-5233

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GUS PARVIZIAN
Credential	:	MR
Telephone Number	:	713-465-5845

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/22/2020

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