# MYXRAY LLC

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

## Provider details

- **NPI number:** 1548988934
- **Authorized official:** EDWARDO DEHOYOS (OWNER)
- **Authorized official phone:** (817) 402-9484

## Contact information

- **Practice address:** 2100 N MAIN ST STE 105, FORT WORTH, TX 76164-8572
- **Practice address phone:** (817) 402-9484
- **Mailing address:** 2100 N MAIN ST STE 105, FORT WORTH, TX 76164-8572
- **Mailing address phone:** (817) 402-9484

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 08/22/2022