Organization
EXCEL X-RAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KAY MAGNESS R.T.(R) (MANAGING MEMBER)
(903) 363-9583
Entity
Organization
Contact information
Practice address
3200 TROUP HWY STE 145, TYLER, TX 75701-8365
(903) 316-6611
(903) 617-6208
Mailing address
3200 TROUP HWY STE 145, TYLER, TX 75701-8365
(903) 363-9583
(903) 617-6208
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R27769
TX
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162356301
—
TX
Enumeration date
03/04/2006
Last updated
05/19/2025
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