Provider Demographics
NPI:1316174097
Name:MISSOURI CITY MRI CENTER LLC
Entity type:Organization
Organization Name:MISSOURI CITY MRI CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFATH
Authorized Official - Middle Name:
Authorized Official - Last Name:QURAISHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-973-9696
Mailing Address - Street 1:P.O. BOX 17898
Mailing Address - Street 2:
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-7898
Mailing Address - Country:US
Mailing Address - Phone:956-533-2961
Mailing Address - Fax:956-968-7331
Practice Address - Street 1:7110 HIGHWAY 6
Practice Address - Street 2:STE F
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4199
Practice Address - Country:US
Practice Address - Phone:956-533-2961
Practice Address - Fax:956-968-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty