# MEDICAL EDGE HEALTHCARE GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Fort Worth MRI Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962522722
- **Authorized official:** CLAY HEIGHTEN MD (PRESIDENT)
- **Authorized official phone:** (972) 739-3001

## Contact information

- **Practice address:** 4400 OAK PARK LN, FORT WORTH, TX 76109-9534
- **Practice address phone:** (817) 207-9600
- **Mailing address:** 4400 OAK PARK LN, FORT WORTH, TX 76109-9534
- **Mailing address phone:** (817) 207-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R24447 | TX | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 10/09/2008