Organization
MRI GROUP LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W DILLON (COO)
(817) 207-9600
Entity
Organization
Contact information
Practice address
4400 OAK PARK LANE, FT WORTH, TX 76109-9534
(817) 207-9600
(817) 207-9692
Mailing address
4400 OAK PARK LANE, FT WORTH, TX 76109-9534
(817) 207-9600
(817) 207-9692
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1767063
—
TX
Enumeration date
11/08/2006
Last updated
08/22/2020
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