Organization
MOPAC IMAGING, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LAN (ADMINISTRATOR)
(210) 660-3001
Entity
Organization
Contact information
Practice address
3742 FAR WEST BLVD STE 109, AUSTIN, TX 78731-3044
(512) 372-1062
(512) 372-1064
Mailing address
3742 FAR WEST BLVD STE 109, AUSTIN, TX 78731-3044
(512) 372-1062
(512) 372-1064
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/29/2022
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