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Organization
PRESTIGE IMAGING, LLC
Active
Organization
PRESTIGE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM D CRUZ (FACILITY DIRECTOR)
(817) 558-1940
Entity
Organization
Contact information
Practice address
2916 N SAM RAYBURN FWY, SUITE 610, SHERMAN, TX 75090-2546
(903) 868-2255
(903) 868-8011
Mailing address
2916 N SAM RAYBURN FWY, SUITE 610, SHERMAN, TX 75090-2546
(903) 868-2255
(903) 868-8011
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R29470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00305755
MEDICARE RAIL ROAD
TX
Enumeration date
06/30/2006
Last updated
04/15/2008
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