Organization
CARDIOVASCULAR MRI OF DALLAS INC
Active
Other names
MRI Central
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE DORNELL EVERETT (PRESIDENT)
(214) 356-4304
Entity
Organization
Contact information
Practice address
5865 KINCAID ROAD, E-8, PLANO, TX 75024
(214) 773-9999
(214) 473-6669
Mailing address
11 COLLINWAY PLACE, DALLAS, TX 75230
(214) 473-9999
(214) 473-6669
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T80K
BCBS
TX
05
—
109524202
—
TX
Enumeration date
09/20/2006
Last updated
02/04/2009
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