Organization
WEST TEXAS IMAGING CENTER PA
Active
Parent organization
WEST TEXAS IMAGING CENTER
Other names
Sajjadul Islam
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST TEXAS IMAGING CENTER
Authorized official
DR. SAJJADUL ISLAM M.D. (OWNER/PHYSICIAN)
(432) 335-8400
Entity
Organization
Contact information
Practice address
320 N MUSKINGUM AVE, ODESSA, TX 79761-5152
(432) 335-8400
Mailing address
320 N MUSKINGUM AVE, ODESSA, TX 79761-5152
(432) 335-8400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7240
TX
Other
Enumeration date
12/15/2011
Last updated
04/30/2012
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