Provider Demographics
NPI:1235282989
Name:XCEL MOBILE X-RAY
Entity Type:Organization
Organization Name:XCEL MOBILE X-RAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-782-0798
Mailing Address - Street 1:7123 FM 234 S
Mailing Address - Street 2:
Mailing Address - City:EDNA
Mailing Address - State:TX
Mailing Address - Zip Code:77957-4838
Mailing Address - Country:US
Mailing Address - Phone:361-782-0699
Mailing Address - Fax:
Practice Address - Street 1:1717 N LAURENT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6236
Practice Address - Country:US
Practice Address - Phone:361-575-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXASC277Medicare ID - Type UnspecifiedMEDICARE