# TEXAS IMAGING SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Imaging Specialist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730852484
- **Authorized official:** GE'O-VANNA SMITH (OPERATIONS MANAGER)
- **Authorized official phone:** (512) 775-3704

## Contact information

- **Practice address:** 8118A W GATE BLVD, AUSTIN, TX 78745-7509
- **Practice address phone:** (737) 932-1899
- **Mailing address:** 8118A W GATE BLVD, AUSTIN, TX 78745-7509
- **Mailing address phone:** (737) 932-1899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 07/28/2021