# IMAGING CENTERS OF TEXAS, INC.

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

## Provider details

- **NPI number:** 1326525031
- **Authorized official:** GINNY MOUNT JACOBS (PRESIDENT)
- **Authorized official phone:** (281) 793-6998

## Contact information

- **Practice address:** 3101 HIGHWAY 71 E STE 108, BASTROP, TX 78602-5159
- **Practice address phone:** (281) 793-6998
- **Mailing address:** 1018 TRAILWOOD ESTATES DR, MAGNOLIA, TX 77354-3530
- **Mailing address phone:** (281) 793-6998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 10/23/2019