# SKELETAL DIAGNOSTICS OF SEALY

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

## Provider details

- **NPI number:** 1972684637
- **Authorized official:** DIANE ABEL (MANAGER/TECHNICIAN)
- **Authorized official phone:** (281) 352-4983

## Contact information

- **Practice address:** 526 WARD ST, SUITE 135, SEALY, TX 77474-2651
- **Practice address phone:** (281) 352-4983
- **Mailing address:** PO BOX 945, BELLVILLE, TX 77418-0945
- **Mailing address phone:** (979) 865-3124

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 02/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0063BR | BLUE CROSS | TX |
| 05 | — | 080922001 | — | TX |
