Provider Demographics
NPI:1811305311
Name:DALLAS MRI CENTER
Entity type:Organization
Organization Name:DALLAS MRI CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEYTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-2525
Mailing Address - Street 1:3308 PRESTON RD
Mailing Address - Street 2:SUITE 350204
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-960-1000
Mailing Address - Fax:214-446-2323
Practice Address - Street 1:3308 PRESTON RD
Practice Address - Street 2:SUITE 350204
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-960-1000
Practice Address - Fax:214-446-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Multi-Specialty