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SAN MARCOS MRI LP NPI 1992786883


NPI Information

NPI: 1992786883
Provider Name: SAN MARCOS MRI, LP

Doing Business As: ADVANCED IMAGING SAN MARCOS

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1330 WONDER WORLD DR
STE 202
SAN MARCOS, TX
ZIP 78666
Phone: (512) 353-5535
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SAN MARCOS MRI, LP is a radiology clinic center in San Marcos, TX. SAN MARCOS MRI, LP NPI is 1992786883. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Imaging San Marcos.

The provider's business location address is:

1330 WONDER WORLD DR
STE 202
SAN MARCOS, TX
ZIP 78666-566
Phone: (512) 353-5535
Fax: (512) 353-7797

The provider's authorized official is Syd G. Vital .
The authorized official title is Administrator and has the following contact phone number (512) 353-5535.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 12/21/2011.


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
1261QR0200XClinic/CenterRadiologyR29023TEXASYes

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
11724924 01MEDICAIDTEXAS
2FTXU38MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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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