| Organization Name: | TEXAS MANAGERIAL MEDICAL SERVICES, LLC |
| NPI Number: | 1144653171 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANA BORJA (CREDENTIALING DEPARTMENT) |
| Mailing Address: | 20320 Northwest Fwy Suite 900 Jersey Village |
| State: | TX US |
| Postal Code: | 770655641 |
| Phone Number: | 2815863888 |
| Fax Number: | 2814402020 |
| NPI Enumeration Date: | 08/13/2013 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |