Provider Demographics
NPI:1740441864
Name:OAK CLIFF OPEN MRI, LLC
Entity type:Organization
Organization Name:OAK CLIFF OPEN MRI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-272-3970
Mailing Address - Street 1:2701 S HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-2367
Mailing Address - Country:US
Mailing Address - Phone:214-272-3970
Mailing Address - Fax:214-782-9062
Practice Address - Street 1:2701 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-2367
Practice Address - Country:US
Practice Address - Phone:214-272-3970
Practice Address - Fax:214-782-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)