Organization
CROSSROADS MRI LP
Active
Other names
Crossroads MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI A WAGNER (BILLING/MARKETING COORDINATOR)
(361) 485-9400
Entity
Organization
Contact information
Practice address
8806 N NAVARRO ST, SUITE 100, VICTORIA, TX 77904-1556
(361) 485-9400
(361) 485-9933
Mailing address
8806 N NAVARRO ST, SUITE 100, VICTORIA, TX 77904-1556
(361) 485-9400
(361) 485-9933
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0599DC
BCBS
TX
05
—
189783701
—
TX
01
—
P00407263
MEDICARE RR
TX
Enumeration date
07/11/2006
Last updated
03/15/2012
Update your record
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