# MID-COUNTY OPEN MRI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRAZOS VALLEY OPEN MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770508624
- **Authorized official:** LANEY LEYVA (PRESIDENT)
- **Authorized official phone:** (979) 268-6749

## Contact information

- **Practice address:** 4301 CARTER CREEK PKWY, SUITE 101, BRYAN, TX 77802-4485
- **Practice address phone:** (979) 268-6749
- **Mailing address:** 4301 CARTER CREEK PKWY, SUITE 101, BRYAN, TX 77802-4485
- **Mailing address phone:** (979) 268-6749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 10/22/2007