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Organization
MONTICELLO DIAGNOSTIC IMAGING CLEBURNE, LP
Active
Organization
MONTICELLO DIAGNOSTIC IMAGING CLEBURNE, LP
Active
Other names
Monticello Diagnostic Imaging of Cleburne
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA MECHELLE HOLDER (PRACTICE ADMINISTRATOR)
(817) 377-3800
Entity
Organization
Contact information
Practice address
105 N RIDGEWAY CT, CLEBURNE, TX 76033-4180
(682) 317-9178
Mailing address
7668 ELDORADO PKWY STE 200, MCKINNEY, TX 75070-5753
(817) 377-3800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
10/03/2022
Last updated
02/10/2025
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