Organization
MYXRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARDO DEHOYOS (OWNER)
(817) 402-9484
Entity
Organization
Contact information
Practice address
2100 N MAIN ST STE 105, FORT WORTH, TX 76164-8572
(817) 402-9484
Mailing address
2100 N MAIN ST STE 105, FORT WORTH, TX 76164-8572
(817) 402-9484
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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