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Organization
DENTAL & SPECIALTY IMAGING
Active
Organization
DENTAL & SPECIALTY IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE FREEMAN (OWNER)
(409) 347-8165
Entity
Organization
Contact information
Practice address
3199 DOWLEN RD, SUITE D, BEAUMONT, TX 77706-7284
(409) 347-8165
(409) 347-8162
Mailing address
3199 DOWLEN RD, SUITE D, BEAUMONT, TX 77706-7284
(409) 347-8165
(409) 347-8162
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Enumeration date
12/28/2007
Last updated
07/21/2022
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