# DYNAMIC MOBILE XRAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144905001
- **Authorized official:** MR. MUHAMMAD FAROOQ (MANAGER)
- **Authorized official phone:** (713) 820-2089

## Contact information

- **Practice address:** 30 PROVIDENCIA CT., SUITE \# 7 - 2ND FLOOR, BROWNSVILLE, TX 78526
- **Practice address phone:** (956) 446-6118
- **Practice address fax:** (956) 446-6116
- **Mailing address:** 30 PROVIDENCIA CT., SUITE \# 7 - 2ND FLOOR, BROWNSVILLE, TX 78526
- **Mailing address phone:** (956) 446-6118
- **Mailing address fax:** (956) 446-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 06/19/2023
