Organization
PRESTIGE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM D CRUZ LVN (FACILITY DIRECTOR)
(817) 558-1940
Entity
Organization
Contact information
Practice address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(972) 492-7909
Mailing address
106 HYDE PARK BLVD, SUITE 102, CLEBURNE, TX 76033-4523
(817) 558-1940
(817) 558-1960
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
10/11/2007
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