Provider Demographics
NPI:1124007760
Name:CLINICS OF NORTH TEXAS, LLP
Entity Type:Organization
Organization Name:CLINICS OF NORTH TEXAS, LLP
Other - Org Name:CLINICS OF NORTH TEXAS, LLP - RADIOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:OZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-397-5413
Mailing Address - Street 1:501 MIDWESTERN PKWY E
Mailing Address - Street 2:ATTN: TRACEY TERRELL
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76302-2302
Mailing Address - Country:US
Mailing Address - Phone:940-766-3551
Mailing Address - Fax:
Practice Address - Street 1:501 MIDWESTERN PKWY E
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302-2302
Practice Address - Country:US
Practice Address - Phone:940-766-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICS OF NORTH TEXAS, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-12
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1212227-02Medicaid
TX00T45ZMedicare UPIN