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Organization
TEXAS IMAGING SPECIALIST
Active
Organization
TEXAS IMAGING SPECIALIST
Active
Other names
Texas Imaging Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
GE'O-VANNA SMITH (OPERATIONS MANAGER)
(512) 775-3704
Entity
Organization
Contact information
Practice address
8118A W GATE BLVD, AUSTIN, TX 78745-7509
(737) 932-1899
Mailing address
8118A W GATE BLVD, AUSTIN, TX 78745-7509
(737) 932-1899
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0207X
Mobile Mammography Clinic/Center
—
NULL
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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