Provider Demographics
NPI:1821524588
Name:NATIONAL RADIOLOGY CONSULTANTS OF TEXAS, LLC
Entity Type:Organization
Organization Name:NATIONAL RADIOLOGY CONSULTANTS OF TEXAS, LLC
Other - Org Name:TEXAS NATIONAL RADIOLOGY CONSULTANTS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-920-5200
Mailing Address - Street 1:2540 GREEN FOREST LN
Mailing Address - Street 2:STE 101
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5388
Mailing Address - Country:US
Mailing Address - Phone:813-920-5200
Mailing Address - Fax:813-920-5228
Practice Address - Street 1:10700 MCPHERSON RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6268
Practice Address - Country:US
Practice Address - Phone:813-920-5200
Practice Address - Fax:813-920-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty