# DYNAMIC DIAGNOSTIC LLC

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

## Provider details

- **NPI number:** 1982069332
- **Authorized official:** MRS. GLORIETEL VIERA (MANAGER)
- **Authorized official phone:** (832) 310-8119

## Contact information

- **Practice address:** 455 JULIE RIVERS DR, SUGAR LAND, TX 77478-3146
- **Practice address phone:** (281) 240-6400
- **Mailing address:** 455 JULIE RIVERS DR, SUGAR LAND, TX 77478-3146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 12/29/2015