# MINIMALLY INVASIVE SPECIALISTS OF TEXAS

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

## Provider details

- **NPI number:** 1891518056
- **Authorized official:** MARTIN KAY (ADMINISTRATOR)
- **Authorized official phone:** (866) 439-3165

## Contact information

- **Practice address:** 4003 WOODLAWN AVE, PASADENA, TX 77504-1910
- **Practice address phone:** (866) 439-3165
- **Practice address fax:** (832) 413-4493
- **Mailing address:** 4003 WOODLAWN AVE, PASADENA, TX 77504-1910
- **Mailing address phone:** (866) 439-3165
- **Mailing address fax:** (832) 413-4493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2024
- **Last updated:** 11/06/2024