Organization
WESLACO ADVANCED MEDICAL IMAGING LLC
Active
Other names
ADVANCED RADIOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RAFATH QURAISHI MD (MD)
(956) 973-9696
Entity
Organization
Contact information
Practice address
1125 S JAMES ST STE A, WESLACO, TX 78596
(956) 973-9696
(956) 973-9616
Mailing address
PO BOX 567, WESLACO, TX 78596
(956) 973-9696
(956) 973-9616
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
TX
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154223502
—
TX
01
—
226054
MAMMAGRAPHY FDA
TX
Enumeration date
05/18/2006
Last updated
03/24/2014
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