# MAGNOLIA IMAGING LLC

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

## Provider details

- **NPI number:** 1770850091
- **Authorized official:** DR. KHADIJA AZIZ M.D. (CEO)
- **Authorized official phone:** (859) 619-4450

## Contact information

- **Practice address:** 2701 BAY SHORE DR, SEABROOK, TX 77586-1692
- **Practice address phone:** (859) 619-4450
- **Practice address fax:** (281) 336-0224
- **Mailing address:** 2701 BAY SHORE DR, SEABROOK, TX 77586-1692
- **Mailing address phone:** (859) 619-4450
- **Mailing address fax:** (281) 336-0224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | N4268 | TX | Yes |

## Other

- **Enumeration date:** 12/01/2011
- **Last updated:** 12/01/2011