Provider Demographics
NPI:1053026757
Name:FAMILY IMAGING OF SOUTH TEXAS LLC
Entity type:Organization
Organization Name:FAMILY IMAGING OF SOUTH TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORENDAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-322-2539
Mailing Address - Street 1:20275 ESPERANZA ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-7720
Mailing Address - Country:US
Mailing Address - Phone:956-322-2539
Mailing Address - Fax:
Practice Address - Street 1:4161 CROSSPOINT BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-322-2539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)