Organization
ELITE IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LE YEN THI O'LEARY DDS (PRESIDENT)
(972) 403-8000
Entity
Organization
Contact information
Practice address
6217 CHAPEL HILL BLVD STE 107, PLANO, TX 75093-1609
(972) 403-8000
Mailing address
6217 CHAPEL HILL BLVD STE 107, PLANO, TX 75093-1609
(972) 403-8000
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
16987
TX
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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