Provider Demographics
NPI:1073911129
Name:RITZ MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:RITZ MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-350-7040
Mailing Address - Street 1:3648 OLD DENTON RD
Mailing Address - Street 2:STE#110
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-7978
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3648 OLD DENTON RD
Practice Address - Street 2:STE#110
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-7978
Practice Address - Country:US
Practice Address - Phone:817-350-7040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR38255335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier