Organization
HORIZON MRI OF MCKINNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J KERN (SENIOR VICE PRESIDENT)
(941) 925-3490
Entity
Organization
Contact information
Practice address
2760 VIRGINIA PKWY, STE 200, MC KINNEY, TX 75071-4964
(972) 547-3674
(972) 547-3685
Mailing address
240 N WASHINGTON BLVD, SARASOTA, FL 34236-5945
(941) 925-3490
(941) 953-4452
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0266DC
BCBS PROV #
TX
01
—
242875
AMERIGROUP
—
01
—
7198538
AETNA/MEDSOLUTIONS
—
Enumeration date
05/23/2005
Last updated
08/22/2020
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