Organization Active NPI

Envision Radiology of Texas LP

  • Radiology Clinic/Center
  • Mansfield, TX
National Provider Identifier
1396743191
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
FTX123 Issued in TX
Legal business name
ENVISION RADIOLOGY OF TEXAS LP
Practice address
710 Hunters Row CT
Mansfield, TX 76063-4001
Phone
(817) 453-7444
Fax
(817) 453-7441
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Evelyn Williams
Title
Assistant Administrator
Phone
(817) 453-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X FTX123 TX Primary

Addresses

Primary practice location

710 Hunters Row CT
Mansfield, TX 76063-4001

Mailing address

710 Hunters Row CT
Mansfield, TX 76063-4001
Phone (817) 453-7444

Other identifiers 1

IdentifierTypeStateIssuer
161429901MedicaidTX

Other names 1

  • Outpatient Diagnostic Center at Hunters Row Doing business as

National Provider Directory

National Provider Directory

Locations

2911 Oak Park Cir
Fort Worth, TX 76109
Phone (817) 207-9600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1396743191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HUNTERS ROW CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634001",
            "telephone_number": "817-453-7444",
            "fax_number": "817-453-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HUNTERS ROW CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634001",
            "telephone_number": "817-453-7444",
            "fax_number": "817-453-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION RADIOLOGY OF TEXAS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "817-453-7444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "FTX123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161429901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Diagnostic Center at Hunters Row",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.