Provider Demographics
NPI:1497449607
Name:DEL NORTE OPEN MRI LLC
Entity Type:Organization
Organization Name:DEL NORTE OPEN MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-207-2687
Mailing Address - Street 1:1200 S 2ND ST STE B2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2954
Mailing Address - Country:US
Mailing Address - Phone:956-661-2110
Mailing Address - Fax:
Practice Address - Street 1:5904 WEST DR STE 22
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6030
Practice Address - Country:US
Practice Address - Phone:956-242-6173
Practice Address - Fax:956-242-6174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)