Organization
GMN ASSOCIATES
Active
Other names
Prestige Women's Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G JOHNSON MD (PRESIDENT)
(972) 498-4000
Entity
Organization
Contact information
Practice address
403 W CAMPBELL RD, # 205, RICHARDSON, TX 75080-3465
(972) 498-4000
Mailing address
PO BOX 740968, DALLAS, TX 75374-0968
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177468903
—
TX
Enumeration date
10/27/2006
Last updated
08/26/2009
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