Provider Demographics
NPI:1871816033
Name:TEXAS HEALTH CARE MOBILE IMAGING, LLC
Entity type:Organization
Organization Name:TEXAS HEALTH CARE MOBILE IMAGING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
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:956-351-5831
Mailing Address - Street 1:1412 E HWY 83
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6620
Mailing Address - Country:US
Mailing Address - Phone:956-351-5831
Mailing Address - Fax:956-351-5832
Practice Address - Street 1:1412 E HWY 83
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6620
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:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile