Organization
MANRIK INC.
Active
Organization
MANRIK INC.
Active
Other names
Lone Star X-Ray Co.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STAFFORD R.T. (OWNER)
(361) 578-9729
Entity
Organization
Contact information
Practice address
4504 N LAURENT ST, VICTORIA, TX 77901-2743
(361) 578-9729
(361) 578-9734
Mailing address
PO BOX 3443, VICTORIA, TX 77903-3443
(361) 578-9729
(361) 578-9734
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
14176
TX
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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