# JACINTO MEDICAL CENTER, L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACINTO MRI & DIAGNOSTIC CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356383665
- **Authorized official:** MR. SIRAJ JIWANI (CEO)
- **Authorized official phone:** (281) 427-3700

## Contact information

- **Practice address:** 2800 GARTH RD, BAYTOWN, TX 77521-3947
- **Practice address phone:** (281) 427-3700
- **Practice address fax:** (281) 427-6663
- **Mailing address:** 2800 GARTH RD, BAYTOWN, TX 77521-3947
- **Mailing address phone:** (281) 427-3700
- **Mailing address fax:** (281) 427-6663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R20528 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 03/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | J90T | BCBS OF TEXAS | TX |