Provider Demographics
NPI:1871341164
Name:TEXAS HEALTH CARE MOBILE IMAGING
Entity type:Organization
Organization Name:TEXAS HEALTH CARE MOBILE IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/RSO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:RT (R), ARRT
Authorized Official - Phone:956-792-5270
Mailing Address - Street 1:1200 S 2ND ST STE 1B&2B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2956
Mailing Address - Country:US
Mailing Address - Phone:956-351-5831
Mailing Address - Fax:956-351-5832
Practice Address - Street 1:1200 S 2ND ST STE 1B&2B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2956
Practice Address - Country:US
Practice Address - Phone:956-351-5831
Practice Address - Fax:956-351-5832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography