Provider Demographics
NPI:1962688820
Name:HILL COUNTRY MRI PARTNERS I, LTD.
Entity Type:Organization
Organization Name:HILL COUNTRY MRI PARTNERS I, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:W
Authorized Official - Last Name:FELLOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-615-9990
Mailing Address - Street 1:PO BOX 1769
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78296-1769
Mailing Address - Country:US
Mailing Address - Phone:210-615-9990
Mailing Address - Fax:210-615-9909
Practice Address - Street 1:128 W BANDERA RD STE 4
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2905
Practice Address - Country:US
Practice Address - Phone:830-816-5900
Practice Address - Fax:830-816-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty