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Organization

ANGELINA DIAGNOSTIC RADIOLOGY ASSOCIATES

Active
Other names
ADRA Medical Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAROLD R LEVINE II MD (PRESIDENT)
(479) 452-9416
Entity
Organization

Contact information

Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 634-8111
Mailing address
PO BOX 3488, TUPELO, MS 38803-3488
(479) 452-9416
(479) 242-1990

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00F87E
BC BS
TX
05
094772301
TX
05
094772302
TX
01
CS9140
RAILROAD MEDICARE
TX
Enumeration date
04/25/2006
Last updated
12/17/2025
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