Organization
AMERICAN DYNAMIC IMAGING LTD
Active
Other names
Physicians Stand Up MRI LTC
Organization subpart
No
Provider details
NPI number
Authorized official
GAY WALTERS (PRESIDENT)
(817) 577-7500
Entity
Organization
Contact information
Practice address
797 LONESOME DOVE TRL, HURST, TX 76054-6018
(817) 577-7500
(817) 577-7501
Mailing address
797 LONESOME DOVE TRL, HURST, TX 76054-6018
(817) 577-7500
(817) 577-7501
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286149404
—
TX
Enumeration date
10/16/2006
Last updated
02/15/2017
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