Provider Demographics
NPI:1629158746
Name:EXPRESS MOBIL X-RAY INC
Entity type:Organization
Organization Name:EXPRESS MOBIL X-RAY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-451-6390
Mailing Address - Street 1:PO BOX 6105
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6105
Mailing Address - Country:US
Mailing Address - Phone:956-451-6390
Mailing Address - Fax:
Practice Address - Street 1:6800 PARK TEN BLVD STE 172W
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4245
Practice Address - Country:US
Practice Address - Phone:956-451-6390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086089201Medicaid
TXP00241286OtherMEDICARE RAILROAD
TXP00241286OtherMEDICARE RAILROAD