Organization Active NPI

Envision Radiology of Texas

  • Diagnostic Radiology Physician
  • Mansfield, TX
National Provider Identifier
1902872088
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ENVISION RADIOLOGY OF TEXAS
Practice address
710 Hunters Row CT
Mansfield, TX 76063-4001
Phone
(817) 453-7444
Fax
(817) 453-7441
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Jeff Jones
Title
Partner
Phone
(719) 955-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

710 Hunters Row CT
Mansfield, TX 76063-4001

Mailing address

8610 Explorer Dr
300
Colorado Springs, CO 80920-1058
Phone (719) 955-4140

Other identifiers 1

IdentifierTypeStateIssuer
161429901MedicaidOK

Other names 1

  • Outpatient Diag Center at Hunters Row Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1902872088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 EXPLORER DR",
            "address_2": "300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201058",
            "telephone_number": "719-955-4140",
            "fax_number": "719-955-4148"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "719-955-4332"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161429901",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Diag 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 Nov 25, 2009; 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.