Active NPI
Stat X-Ray of Texas Inc
- Sonography Radiologic Technologist
- Mesquite, TX
National Provider Identifier
1982864021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- STAT X-RAY OF TEXAS INC
- Practice address
- 4124 Gus Thomasson Rd
Mesquite, TX 75150-2226 - Phone
- (972) 669-1243
- Fax
- (214) 723-7539
- NPI assigned
- Jun 12, 2008
- Last updated
- Jul 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tharian P Issac
- Title
- Owner Tech
- Phone
- (972) 682-0484
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | NU | ||
| Sonography Radiologic Technologist | 2471S1302X | NU | Primary |
Addresses
Primary practice location
4124 Gus Thomasson Rd
Mesquite, TX 75150-2226
Mailing address
PO Box 870427
Mesquite, TX 75187-0427
Phone (972) 669-1243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071204000552 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2365531910 |
1 other NPI on this enrollment Practice locations: Mesquite, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Mesquite, TX
- NPI 1497711535
-
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1013116805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1982864021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870427",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751870427",
"telephone_number": "972-669-1243",
"fax_number": "214-723-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 GUS THOMASSON RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502226",
"telephone_number": "972-669-1243",
"fax_number": "214-723-7539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT X-RAY OF TEXAS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "ISSAC",
"authorized_official_first_name": "THARIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER TECH",
"authorized_official_telephone_number": "972-682-0484"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.