Bastrop Open Mri L L P Partnership

NPI #1730212473 in Bastrop, Texas

Provider Information

NPI Number: 1730212473
Entity Type: Organization
Organization Name: Bastrop Open Mri L L P Partnership
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Mar 13, 2007
Last Updated: Mar 25, 2011

Practice Location

Address: 3101 HIGHWAY 71 E
Address 2: SUITE #108
City: Bastrop
State: Texas
ZIP Code: 78602-5156
Phone: (512) 332-0222

Authorized Official

Name: MR. KEVIN J OWENS
Title: OWNER
Phone: (512) 332-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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