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Organization
JACINTO MEDICAL CENTER, L.P.
Active
Organization
JACINTO MEDICAL CENTER, L.P.
Active
Other names
JACINTO MRI & DIAGNOSTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIRAJ JIWANI (CEO)
(281) 427-3700
Entity
Organization
Contact information
Practice address
2800 GARTH RD, BAYTOWN, TX 77521-3947
(281) 427-3700
(281) 427-6663
Mailing address
2800 GARTH RD, BAYTOWN, TX 77521-3947
(281) 427-3700
(281) 427-6663
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R20528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J90T
BCBS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
03/04/2008
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