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STAT X-RAY OF TEXAS NPI 1417052002


NPI Information

NPI: 1417052002
Provider Name: STAT X-RAY OF TEXAS
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
4124 GUS THOMASSON ROAD
MESQUITE, TX
ZIP 75150
Phone: (972) 682-0484
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STAT X-RAY OF TEXAS is a radiologic technologist in Mesquite, TX. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. STAT X-RAY OF TEXAS NPI is 1417052002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4124 GUS THOMASSON ROAD
MESQUITE, TX
ZIP 75150-226
Phone: (972) 682-0484
Fax: (214) 221-5600

The provider's authorized official is Parampottil Tharian Issac .
The authorized official title is Owner and has the following contact phone number (972) 772-4864.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 12/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471S1302XRadiologic TechnologistSonographyNo
2247100000XRadiologic TechnologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1459840OTHERTEXASBCBS
2459840MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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