Provider Demographics
NPI:1194820209
Name:TREASURE HILLS IMAGING LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:TREASURE HILLS IMAGING LIMITED PARTNERSHIP
Other - Org Name:TREASURE HILLS IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP & CFO/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:EASTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-389-1604
Mailing Address - Street 1:1717 TREASURE HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8912
Mailing Address - Country:US
Mailing Address - Phone:956-389-1268
Mailing Address - Fax:956-389-4536
Practice Address - Street 1:1717 TREASURE HILLS BLVD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8912
Practice Address - Country:US
Practice Address - Phone:956-389-3300
Practice Address - Fax:956-389-3309
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY BAPTIST MEDICAL DEVELOPMENT CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-13
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142115100OtherVBHP
TX0518DCOtherBLUE CROSS BLUE SHIELD
TX1723587-01Medicaid
TX142115100OtherVBHP
TXFTA091Medicare ID - Type Unspecified