Organization
PREFERRED IMAGING OF GARLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOPER (DIRECTOR OF CREDENTIALING)
(754) 206-6198
Entity
Organization
Contact information
Practice address
1778 N PLANO RD, STE 300, RICHARDSON, TX 75081-1958
(972) 234-0004
(972) 234-0035
Mailing address
PO BOX 674025, DALLAS, TX 75267-4025
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0386DC
BCBS TX
TX
05
—
164354602
—
TX
01
—
P00149719
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
10/21/2022
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