# MOBILE X-RAY OF AMARILLO

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

## Provider details

- **NPI number:** 1780620674
- **Authorized official:** MARK PAUL BROWN (OWNER/OPERATOR)
- **Authorized official phone:** (806) 676-8960

## Contact information

- **Practice address:** 4303 SOUTH FANNIN, AMARILLO, TX 79110-0000
- **Practice address phone:** (806) 371-6717
- **Mailing address:** 4303 S FANNIN ST, AMARILLO, TX 79110-1708
- **Mailing address phone:** (806) 676-8960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12900 | TX | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 12/29/2020