# AMERICAN DYNAMIC IMAGING LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Stand Up MRI LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013097062
- **Authorized official:** GAY WALTERS (PRESIDENT)
- **Authorized official phone:** (817) 577-7500

## Contact information

- **Practice address:** 797 LONESOME DOVE TRL, HURST, TX 76054-6018
- **Practice address phone:** (817) 577-7500
- **Practice address fax:** (817) 577-7501
- **Mailing address:** 797 LONESOME DOVE TRL, HURST, TX 76054-6018
- **Mailing address phone:** (817) 577-7500
- **Mailing address fax:** (817) 577-7501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 02/15/2017