Organization
MID-TEXAS MRI, LLC
Active
Other names
Millennium MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIROSLAV JAKSIC (MANAGING MEMBER)
(810) 623-3211
Entity
Organization
Contact information
Practice address
811 CENTRAL DR, ODESSA, TX 79761-4201
(432) 227-0067
(432) 400-2599
Mailing address
2929 S CARAWAY RD STE 6, JONESBORO, AR 72401-7335
(810) 623-3211
(432) 400-2599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
05/07/2022
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