RADCARE OF TEXAS PLLC NPI 1164470845

NPI Information

NPI: 1164470845
Provider Name: RADCARE OF TEXAS PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 921-3431
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RADCARE OF TEXAS PLLC is a diagnostic radiology radiology in Fort Worth, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADCARE OF TEXAS PLLC NPI is 1164470845. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 921-3431
Fax: (214) 712-2487

The provider's authorized official is Kathy Kondas .
The authorized official title is Officer and has the following contact phone number (954) 838-2371.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 9/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	165410503	MEDICAID	TEXAS
2	163428901	MEDICAID	TEXAS
3	165410501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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