Organization
MONTICELLO DIAGNOSTIC IMAGING CLEBURNE, LP
Active
Other names
Monticello Diagnostic Imaging of Cleburne
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA MECHELLE HOLDER (PRACTICE ADMINISTRATOR)
(817) 377-3800
Entity
Organization
Contact information
Practice address
105 N RIDGEWAY CT, CLEBURNE, TX 76033-4180
(682) 317-9178
Mailing address
7668 ELDORADO PKWY STE 200, MCKINNEY, TX 75070-5753
(817) 377-3800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
10/03/2022
Last updated
02/10/2025
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