Organization
DALLAS INJECTIONS AND DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL E. MANGUM (CEO)
(214) 692-6666
Entity
Organization
Contact information
Practice address
5445 LA SIERRA DR, SUITE 204, DALLAS, TX 75231-4139
(214) 692-6666
(214) 692-6670
Mailing address
PO BOX 600324, DALLAS, TX 75360-0324
(214) 692-6666
(214) 692-6670
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
TX
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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