# BETHANY MOBILE DIAGNOSTIC IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356151799
- **Authorized official:** MR. ABRAHAM G BESHAWORED RT. CT/MR (DIRECTOR)
- **Authorized official phone:** (469) 605-8179

## Contact information

- **Practice address:** 5525 DORCHESTER LN, GARLAND, TX 75040-4494
- **Practice address phone:** (469) 605-8179
- **Mailing address:** 5525 DORCHESTER LN, GARLAND, TX 75040-4494
- **Mailing address phone:** (469) 605-8179

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/09/2025