Organization
DIAGNOSTIC IMAGING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA HERNANDEZ RN (OFFICE MANAGER)
(432) 570-1421
Entity
Organization
Contact information
Practice address
200 ANDREWS HWY, MIDLAND, TX 79701-6375
(432) 570-1421
(432) 570-1427
Mailing address
PO BOX 4336, MIDLAND, TX 79704-4336
(432) 570-1421
(432) 570-1427
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F23Y
DIA BCBS GRP PROV #
TX
01
—
A002
DIA TRICARE GRP PROV #
TX
Enumeration date
02/21/2006
Last updated
08/22/2020
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