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Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Rosemeade Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN M.D. (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
2117 E ROSEMEADE PKWY, CARROLLTON, TX 75007-2303
(972) 395-7533
(972) 937-2246
Mailing address
9229 LYNDON B JOHNSON FWY, STE. 250, DALLAS, TX 75243-3405
(972) 739-3637
(972) 739-2673
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081500303
—
TX
Enumeration date
07/20/2006
Last updated
06/10/2008
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