Organization
OPEN DIAGNOSTIC IMAGING, LLC
Active
Other names
WILLOWBEND DIAGNOSTIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CUNNINGHAM (CHIEF OPERATING OFFICER)
(214) 826-8822
Entity
Organization
Contact information
Practice address
5025 W PARK BLVD, SUITE 500, PLANO, TX 75093-2584
(972) 596-1934
(972) 596-4934
Mailing address
5025 W PARK BLVD, SUITE 500, PLANO, TX 75093-2584
(972) 596-1934
(972) 596-4934
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R25645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446932-02
—
TX
Enumeration date
02/22/2006
Last updated
12/30/2008
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