Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Rosemeade Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN M.D. (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
2117 E ROSEMEADE PKWY, CARROLLTON, TX 75007-2303
(972) 395-7533
(972) 937-2246
Mailing address
9229 LYNDON B JOHNSON FWY, STE. 250, DALLAS, TX 75243-3405
(972) 739-3637
(972) 739-2673
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081500303
—
TX
Enumeration date
07/20/2006
Last updated
06/10/2008
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