Organization
MAN RIK, INC.
Active
Other names
Lone Star X-Ray Co
Organization subpart
No
Provider details
NPI number
Authorized official
TINA STAFFORD (OFFICE MANGER)
(361) 578-9729
Entity
Organization
Contact information
Practice address
2501 E AIRLINE RD, VICTORIA, TX 77901-4307
(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
2085U0001X
Diagnostic Ultrasound Physician
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
14176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0861072-01
—
TX
Enumeration date
04/10/2007
Last updated
10/30/2024
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