| Molecular Imaging Technologies | |
|
7812 Gateway Blvd E Ste 120b El Paso TX 79915-1803 | |
| (915) 577-0100 | |
| (915) 400-0427 |
| Full Name | Molecular Imaging Technologies |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7812 Gateway Blvd E Ste 120b, El Paso, Texas |
| Authorized Official Name and Position | Leroy Candelaria (PRESIDENT) |
| Authorized Official Contact | 9155770100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molecular Imaging Technologies 7812 Gateway Blvd E Ste 120b El Paso TX 79915-1803 Ph: (915) 577-0100 | Molecular Imaging Technologies 7812 Gateway Blvd E Ste 120b El Paso TX 79915-1803 Ph: (915) 577-0100 |
| NPI Number | 1922504588 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922504588 | NPI | - | NPPES |
| 1B0565 | Other | TX | MEDICARE |
| 123456 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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