Provider Demographics
NPI:1922732940
Name:MRI CENTERS OF TEXAS, LLC- NORTH AUSTIN SERIES
Entity Type:Organization
Organization Name:MRI CENTERS OF TEXAS, LLC- NORTH AUSTIN SERIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CHIEF EXECUTIVE OFFIC
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BROOKSON
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-498-1963
Mailing Address - Street 1:PO BOX 224852
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-4852
Mailing Address - Country:US
Mailing Address - Phone:972-498-1963
Mailing Address - Fax:
Practice Address - Street 1:6406 N IH 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-4352
Practice Address - Country:US
Practice Address - Phone:972-498-1963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology