Provider Demographics
NPI:1902260821
Name:MRI CENTERS OF TEXAS LLC
Entity Type:Organization
Organization Name:MRI CENTERS OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-674-6389
Mailing Address - Street 1:PO BOX 835885
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-5885
Mailing Address - Country:US
Mailing Address - Phone:817-674-6389
Mailing Address - Fax:817-529-7250
Practice Address - Street 1:1000 LIPSCOMB ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3180
Practice Address - Country:US
Practice Address - Phone:817-674-6389
Practice Address - Fax:817-529-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)