# MYCARE MEDICAL OF TEXAS 2, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MyCare MRI and Diagnostic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952021503
- **Authorized official:** NEIL BRENNAN (CREDENTIALING MANAGER)
- **Authorized official phone:** (813) 702-1133

## Contact information

- **Practice address:** 106 N MAIN ST, LA FERIA, TX 78559-5003
- **Practice address phone:** (813) 702-1133
- **Mailing address:** 106 N MAIN ST, LA FERIA, TX 78559-5003
- **Mailing address phone:** (813) 702-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 12/26/2022