# TEXOMA MEDICAL CENTER JOINT VENTURE

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

## Provider details

- **NPI number:** 1790896868
- **Authorized official:** DR. ALIAKBAR MOSHTAGHI M.D. (OWNER)
- **Authorized official phone:** (940) 322-2244

## Contact information

- **Practice address:** 1518 10TH ST, WICHITA FALLS, TX 76301-4405
- **Practice address phone:** (940) 322-2244
- **Practice address fax:** (940) 322-5511
- **Mailing address:** 1518 10TH ST, WICHITA FALLS, TX 76301-4405
- **Mailing address phone:** (940) 322-2244
- **Mailing address fax:** (940) 322-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R27777 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/25/2012