Provider Demographics
NPI:1427232602
Name:NORTH BROWNSVILLE IMAGING CENTER, L.P.
Entity Type:Organization
Organization Name:NORTH BROWNSVILLE IMAGING CENTER, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF RADIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-389-1803
Mailing Address - Street 1:5700 N. BROWNSVILLE EXPRESSWAY 77/87
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520
Mailing Address - Country:US
Mailing Address - Phone:956-389-1803
Mailing Address - Fax:956-389-6796
Practice Address - Street 1:5700 N. BROWNSVILLE EXPRESSWAY 77/87
Practice Address - Street 2:SUITE 103
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-389-1803
Practice Address - Fax:956-389-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology