Provider Demographics
NPI:1881105328
Name:ALLIANCE MRI CORPUS CHRISTI
Entity type:Organization
Organization Name:ALLIANCE MRI CORPUS CHRISTI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEW BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-420-5011
Mailing Address - Street 1:9811 KATY FWY STE 1075
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1281
Mailing Address - Country:US
Mailing Address - Phone:713-468-3842
Mailing Address - Fax:
Practice Address - Street 1:3702 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1630
Practice Address - Country:US
Practice Address - Phone:361-561-0635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)