Organization
MCALLEN MRI, LLC
Active
Other names
McAllen MRI Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN C DE LA GARZA (CEO,COO)
(956) 687-9636
Entity
Organization
Contact information
Practice address
320 N. MCCOLL RD, SUITE E, MCALLEN, TX 78501-9358
(956) 630-0078
(713) 583-8860
Mailing address
320 N MCCOLL RD, SUITE E, MCALLEN, TX 78501-9358
(956) 687-9636
(956) 687-9743
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088042901
—
TX
Enumeration date
10/12/2007
Last updated
08/18/2015
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