# BASTROP OPEN MRI L L P PARTNERSHIP

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

## Provider details

- **NPI number:** 1730212473
- **Authorized official:** MR. KEVIN J OWENS (OWNER)
- **Authorized official phone:** (512) 332-0222

## Contact information

- **Practice address:** 3101 HIGHWAY 71 E, SUITE \#108, BASTROP, TX 78602-5156
- **Practice address phone:** (512) 332-0222
- **Practice address fax:** (512) 332-0229
- **Mailing address:** 3101 HIGHWAY 71 E, SUITE \#108, BASTROP, TX 78602-5156
- **Mailing address phone:** (512) 332-0222
- **Mailing address fax:** (512) 332-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R27271 | TX | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 03/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 155733201 | — | TX |