Organization
TEXARKANA MRI, LP
Active
Organization
TEXARKANA MRI, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY THOMASON (MANAGER)
(479) 968-8279
Entity
Organization
Contact information
Practice address
4303 TEXAS BLVD # NO.8, TEXARKANA, TX 75503-3097
(479) 968-8279
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-8279
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F250
ARKANSAS BCBS
AR
Enumeration date
08/21/2006
Last updated
12/17/2013
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