Myxray LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MYXRAY LLC

Practice address

2100 N Main St Ste 105
Fort Worth, TX 76164-8572

Phone

(817) 402-9484

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edwardo Dehoyos

Title

Owner

Phone

(817) 402-9484

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1548988934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST STE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648572",
            "telephone_number": "817-402-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST STE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648572",
            "telephone_number": "817-402-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYXRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "DEHOYOS",
        "authorized_official_first_name": "EDWARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-402-9484"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@clinictx.com",
            "affiliation": "N",
            "address_1": "2100 N Main St Ste 105",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761648572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Lee Myers, MS, APRN, FNP-C
• Rachael N Myers, LCSW
• Taylor Katherine Myers
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• Nahid Naaz, MD
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• Eman Nachawati, MSW
• Katherine Anna Nack, APRN
• Katie Nacpil, NP

• Radiology Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.