# TEXAS MOBILE XRAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265764146
- **Authorized official:** JASON DENT (MANAGER/AGENT)
- **Authorized official phone:** (254) 238-1707

## Contact information

- **Practice address:** 3509 BRANGUS RD, GEORGETOWN, TX 78628-1713
- **Practice address phone:** (866) 972-9786
- **Mailing address:** PO BOX 490, GEORGETOWN, TX 78627-0490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 02/03/2010