Organization
BMB ASSOCIATES LLC
Active
Other names
North Texas Digital Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINU MAMMEN MATHEW R, MR, ARRT (DIRECTOR)
(972) 681-4000
Entity
Organization
Contact information
Practice address
2698 N GALLOWAY AVE, MESQUITE, TX 75150-6383
(972) 681-4000
(972) 681-0881
Mailing address
2698 N GALLOWAY AVE, MESQUITE, TX 75150-6383
(972) 681-4000
(972) 681-0881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
R31261
TX
261QR0200X
Radiology Clinic/Center
Primary
R31261
TX
293D00000X
Physiological Laboratory
R31261
TX
Other
Enumeration date
04/06/2007
Last updated
07/03/2013
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