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Organization
AVALON BEDFORD PLLC
Active
Organization
AVALON BEDFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WALLER WALLER (VP OF OPERATIONS)
(817) 528-7044
Entity
Organization
Contact information
Practice address
4400 STATE HIGHWAY 121 STE 405, LEWISVILLE, TX 75056-4952
(972) 808-7814
Mailing address
4400 STATE HIGHWAY 121 STE 405, LEWISVILLE, TX 75056-4952
(972) 808-7814
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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