Basic Information
| Provider Information | |||||||||
| NPI: | 1316278229 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEALTH IMAGING PARTNERS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 612 E LAMAR BLVD STE 1400 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760114134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669651093 | ||||||||
| FaxNumber: | 7199554148 | ||||||||
| Practice Location | |||||||||
| Address1: | 612 E LAMAR BLVD STE 1400 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760114134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669651093 | ||||||||
| FaxNumber: | 7199554148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2010 | ||||||||
| LastUpdateDate: | 01/21/2020 | ||||||||
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| AuthorizedOfficialLastName: | BENSON | ||||||||
| AuthorizedOfficialFirstName: | ANDREW | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF REVENUE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 7199554332 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 293D00000X | N | Laboratories | Physiological Laboratory | 261QR0200X | R27730 | TX | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
No ID Information.