# PREMIER DIAGNOSTIC IMAGING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREMIER DIAGNOSTIC IMAGING INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063142750
- **Authorized official:** MRS. NATAUSHA GLIDWELL (OWNER)
- **Authorized official phone:** (432) 438-1322

## Contact information

- **Practice address:** 850 TOWER DR STE 111, ODESSA, TX 79761-4252
- **Practice address phone:** (432) 888-4886
- **Mailing address:** 850 TOWER DR STE 111, ODESSA, TX 79761-4252
- **Mailing address phone:** (432) 438-1322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2022
- **Last updated:** 05/07/2024