Provider Demographics
NPI:1053986786
Name:TEXAS HEALTH CARE MOBILE IMAGING, LLC
Entity type:Organization
Organization Name:TEXAS HEALTH CARE MOBILE IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:956-792-5270
Mailing Address - Street 1:1460 N EXPRESSWAY # 77
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1457
Mailing Address - Country:US
Mailing Address - Phone:956-546-7888
Mailing Address - Fax:
Practice Address - Street 1:1460 N EXPRESSWAY # 77
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1457
Practice Address - Country:US
Practice Address - Phone:956-546-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology