# BRAZOS MOBILE IMAGING,INC.

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

## Provider details

- **NPI number:** 1447261219
- **Authorized official:** ABBAS RAHIMI BSRT, RTR (PRESIDENT)
- **Authorized official phone:** (254) 772-8248

## Contact information

- **Practice address:** 208 CHAMA DR, HEWITT, TX 76643-3368
- **Practice address phone:** (254) 772-8248
- **Practice address fax:** (254) 870-1991
- **Mailing address:** PO BOX 21265, WACO, TX 76702-1265
- **Mailing address phone:** (254) 772-8248
- **Mailing address fax:** (254) 772-8457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | R21052 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/31/2020
