Organization
VICTORIA MRI LTD
Active
Other names
Victoria Upright MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. D JANE BAGNALL (ADMINISTRATOR)
(361) 570-1900
Entity
Organization
Contact information
Practice address
8902 N NAVARRO ST, STE 400, VICTORIA, TX 77904-1414
(361) 570-1900
(361) 485-0063
Mailing address
8902 N NAVARRO ST, STE 400, VICTORIA, TX 77904-1414
(361) 570-1900
(361) 485-0063
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
476DC
BCBS PROVIDER NUMBER
TX
Enumeration date
05/01/2006
Last updated
12/20/2007
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