Organization
MAGNOLIA IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJA AZIZ MD (RADIOLOGIST)
(281) 336-0224
Entity
Organization
Contact information
Practice address
2701 BAY SHORE DR, SEABROOK, TX 77586-1692
(281) 336-0224
(281) 336-0224
Mailing address
2701 BAY SHORE DR, SEABROOK, TX 77586-1692
(281) 336-0224
(281) 336-0224
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
N4268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64072721
—
KY
Enumeration date
12/22/2011
Last updated
03/12/2012
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