Provider Demographics
NPI:1174783179
Name:CORPUS CHRISTI MRI
Entity type:Organization
Organization Name:CORPUS CHRISTI MRI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SITE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZIPPRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-991-1007
Mailing Address - Street 1:5945 MCARDLE RD STE 125
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-3490
Mailing Address - Country:US
Mailing Address - Phone:361-991-1007
Mailing Address - Fax:361-991-2031
Practice Address - Street 1:5945 MCARDLE RD STE 125
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-3490
Practice Address - Country:US
Practice Address - Phone:361-991-1007
Practice Address - Fax:361-991-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)