Organization
MID-COUNTY OPEN MRI
Active
Other names
BRAZOS VALLEY OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
LANEY LEYVA (PRESIDENT)
(979) 268-6749
Entity
Organization
Contact information
Practice address
4301 CARTER CREEK PKWY, SUITE 101, BRYAN, TX 77802-4485
(979) 268-6749
Mailing address
4301 CARTER CREEK PKWY, SUITE 101, BRYAN, TX 77802-4485
(979) 268-6749
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
07/13/2006
Last updated
10/22/2007
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