Provider Demographics
NPI:1952125361
Name:TEXAS MRI PARTNERS LLC
Entity type:Organization
Organization Name:TEXAS MRI PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEIDERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-792-6736
Mailing Address - Street 1:2651 JOHN BEN SHEPPERD PKWY STE C4
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-1950
Mailing Address - Country:US
Mailing Address - Phone:432-897-1800
Mailing Address - Fax:
Practice Address - Street 1:2651 JOHN BEN SHEPPERD PKWY STE C4
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-1950
Practice Address - Country:US
Practice Address - Phone:432-897-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)