Organization Active NPI

Stat X-Ray of Texas Inc

  • Sonography Radiologic Technologist
  • Mesquite, TX
National Provider Identifier
1982864021
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.