Organization
OUTPATIENT DIAGNOSTIC CENTER OF DALLAS LP
Active
Other names
Two Forest Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JONES (CFO)
(719) 955-4332
Entity
Organization
Contact information
Practice address
12201 MERIT DR, STE. 100, DALLAS, TX 75251-2213
(214) 276-0050
(214) 276-0057
Mailing address
8610 EXPLORER DR, 300, COLORADO SPRINGS, CO 80920-1058
(719) 955-4140
(719) 955-4148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162958601
—
TX
Enumeration date
11/28/2005
Last updated
11/25/2009
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