Organization
BASTROP OPEN MRI L L P PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN J OWENS (OWNER)
(512) 332-0222
Entity
Organization
Contact information
Practice address
3101 HIGHWAY 71 E, SUITE #108, BASTROP, TX 78602-5156
(512) 332-0222
(512) 332-0229
Mailing address
3101 HIGHWAY 71 E, SUITE #108, BASTROP, TX 78602-5156
(512) 332-0222
(512) 332-0229
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R27271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155733201
—
TX
Enumeration date
03/13/2007
Last updated
03/25/2011
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