# SAN MARCOS MRI, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Imaging San Marcos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992786883
- **Authorized official:** MR. SYD G. VITAL (ADMINISTRATOR)
- **Authorized official phone:** (512) 353-5535

## Contact information

- **Practice address:** 1330 WONDER WORLD DR, STE 202, SAN MARCOS, TX 78666-7566
- **Practice address phone:** (512) 353-5535
- **Practice address fax:** (512) 353-7797
- **Mailing address:** 1330 WONDER WORLD DR, STE 202, SAN MARCOS, TX 78666-7566
- **Mailing address phone:** (512) 353-5535
- **Mailing address fax:** (512) 353-7797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R29023 | TX | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 12/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1724924 01 | — | TX |