Organization
LIVING WELL DIAGNOSTICS IMAGING, LLC
Active
Other names
Living Well Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN ESTY (CHIEF OPERATING OFFICER)
(469) 575-3011
Entity
Organization
Contact information
Practice address
5048 TENNYSON PKWY STE 250, PLANO, TX 75024-3067
(469) 575-3011
Mailing address
5048 TENNYSON PKWY STE 250, PLANO, TX 75024-3067
(469) 575-3011
(469) 575-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
05/11/2012
Last updated
07/25/2019
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